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 heart failure and instructs him to limit sodium intake to 2 g per day. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: A frozen fruit juice bar is low-sodium, aligning with a 2 g sodium diet. Vegetable juice, garlic/onion salts, and mayonnaise are high in sodium and should be avoided.
Question 2 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.
Question 3 of 5
A nurse is reviewing laboratory results for four clients who are scheduled for surgery. Which of the following laboratory values should the nurse report to the surgeon?
Correct Answer: A
Rationale: A platelet count of 95,000/mm indicates thrombocytopenia, increasing bleeding risk during surgery, requiring immediate reporting. Other values are within normal ranges and do not pose immediate surgical risks.
Question 4 of 5
A nurse is caring for a client who has developed a heart rate of 38/min and reports tremors and feeling faint. Which of the following medications should the nurse anticipate administering?
Correct Answer: C
Rationale: Atropine sulfate treats symptomatic bradycardia (38/min) by increasing heart rate, addressing tremors and faintness. Other medications are inappropriate for this condition.
Question 5 of 5
A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications to give at 0800 should the nurse withhold?
Correct Answer: C
Rationale: Metformin is withheld before IV contrast dye procedures to prevent lactic acidosis, a rare but serious complication. Other medications are safe to administer.