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 ileostomy. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: Loose stools are expected with an ileostomy due to bypassing the colon. Emptying the bag frequently, avoiding laxatives, and limiting high-fiber foods prevent complications.
Question 2 of 5
A nurse is caring for a client following a total knee arthroplasty. The client reports a pain level of 6 on a pain scale of 0 to 10. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: Applying an ice pack reduces inflammation and pain post-arthroplasty. Pillows under the knee risk contractures, massaging may increase pain or infection, and exercises should wait until pain is controlled.
Question 3 of 5
A nurse is caring for a client who has a severe burn injury. The nurse should recognize which of the following client findings as an indication of hypovolemic shock?
Correct Answer: B
Rationale: Hyperkalemia (5.2 mEq/L) from cell destruction in burns indicates hypovolemic shock, risking cardiac complications. Normal urine output, capillary refill, and PaCO2 are not specific to shock.
Question 4 of 5
A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer?
Correct Answer: D
Rationale: Desmopressin, a synthetic ADH, treats diabetes insipidus by reducing urine output. Lithium and furosemide worsen it, and insulin is for diabetes mellitus.
Question 5 of 5
A nurse is reviewing ECG rhythm strips for a group of clients. The nurse should identify that which of the following rhythms indicates bradycardia?
Correct Answer: C
Rationale: Sinus bradycardia shows a heart rate below 60/min with regular P waves before QRS complexes, as seen in strip C.