ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: Washing the perineal area twice daily with antimicrobial soap reduces infection risk in immunocompromised clients. Other actions are less critical or increase infection risk.
Question 2 of 5
A nurse is preparing to discontinue long-term total parenteral nutrition (TPN) therapy for a client. The nurse should plan to discontinue the TPN gradually to reduce the risk of which of the following adverse effects?
Correct Answer: B
Rationale: Gradual TPN discontinuation prevents hypoglycemia due to sudden cessation of high glucose infusion. Hyperglycemia occurs during TPN, and diarrhea or hypertension are unrelated.
Question 3 of 5
A nurse is planning care for a client who has Clostridium difficile gastroenteritis. Which of the following is an appropriate nursing action?
Correct Answer: A
Rationale: Clostridium difficile is highly contagious and requires a protective environment to prevent spread. Chlorhexidine and alcohol-based hand rubs are not effective against its spores, and while gloves are used, a protective environment is the priority.
Question 4 of 5
A nurse is preparing to administer levofloxacin 750 mg via intermittent IV infusion over 90 min to a client. Available is levofloxacin 750 mg/150 mL. How many mL/hr should the nurse set the IV pump to administer?
Correct Answer: 100
Rationale: Rate = 150 mL / 1.5 hr = 100 mL/hr, calculated to deliver the dose over 90 minutes.
Question 5 of 5
A nurse is reviewing the following ABG results for a postoperative client: pH 7.27, PaCO2 49 mm Hg, PaO2 65 mm Hg, HCO 22 mEq/L. The nurse should interpret the findings as which of the following imbalances?
Correct Answer: A
Rationale: Low pH (7.27) and high PaCO2 (49 mm Hg) with normal HCO3 indicate respiratory acidosis from hypoventilation retaining CO2.