ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client and their partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Correct Answer: A
Rationale: Cloudy effluent is the earliest sign of peritonitis in peritoneal dialysis, indicating infection. Increased heart rate, abdominal pain, and fever appear later.
Question 2 of 5
A nurse is teaching a client who has diabetes mellitus about foot care. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Cotton socks are breathable, reducing infection risk. Heating pads, loose slippers, and hot water with antibacterial soap increase risks of burns or injury.
Question 3 of 5
A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory results should the nurse monitor to determine long-term glycemic control?
Correct Answer: B
Rationale: Glycosylated hemoglobin (HbA1c) reflects average blood glucose over 2-3 months, ideal for long-term control. Fasting, oral glucose tolerance, and postprandial tests assess short-term control.
Question 4 of 5
A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances?
Correct Answer: A
Rationale: Banana allergy is associated with latex-fruit syndrome, increasing latex allergy risk. Anesthetics, povidone-iodine, and adhesive tape do not have this cross-reactivity.
Question 5 of 5
A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and tachypnea. In which of the following positions should the nurse place the client?
Correct Answer: C
Rationale: Elevating the feet improves blood flow to vital organs in hypovolemic shock. High-Fowler's, side-lying, and Reverse Trendelenburg do not address hypotension effectively.