ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client following a modified left radical mastectomy with a breast expander. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Expecting less than 25 mL of secretions per day in drainage devices indicates proper understanding of post-mastectomy care with a breast expander. Heavy arm exercises, waiting 2 months for saline, or keeping the arm flexed are not recommended.
Question 2 of 5
A nurse is caring for a client who is postoperative following an endoscopy with moderate (conscious) sedation. Which of the following assessment findings is the nurse's priority?
Correct Answer: B
Rationale: Assessing the gag reflex is the priority post-endoscopy with sedation to ensure safe swallowing before eating or drinking. Pain, extremity warmth, and temperature are secondary.
Question 3 of 5
A nurse is providing discharge teaching to a client following a modified left radical mastectomy with a breast expander. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Expecting less than 25 mL of secretions per day in drainage devices indicates proper understanding of post-mastectomy care with a breast expander. Heavy arm exercises, waiting 2 months for saline, or keeping the arm flexed are not recommended.
Question 4 of 5
A nurse is caring for a client who had a total hip arthroplasty. Which of the following actions should the nurse take to prevent hip dislocation?
Correct Answer: A
Rationale: Placing pillows between the legs maintains hip alignment, preventing dislocation. Leaning forward, removing the wedge, or elevating knees increase dislocation risk.
Question 5 of 5
A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect as an indication the wound is healing?
Correct Answer: A
Rationale: Dark red granulation tissue indicates new connective tissue and blood vessel formation, a sign of wound healing. Light yellow exudate may suggest infection, dry brown eschar is dead tissue that hinders healing, and firm wound tissue is not a specific healing indicator.