ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is receiving opioids for pain management. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Monitoring for urinary retention is important as opioids can cause this side effect. Itching is a common side effect, not necessarily allergic; restricting fluids worsens constipation; antiemetics help with nausea.
Question 2 of 5
A nurse is caring for a client who is postoperative following a urinary diversion procedure to treat bladder cancer. Which of the following findings should indicate to the nurse that the client's stoma is functioning appropriately?
Correct Answer: A
Rationale: A red and moist stoma indicates healthy tissue and proper function. Soft and flat, pale and dry, or protruding 2 cm suggest complications like ischemia or obstruction.
Question 3 of 5
A nurse on an oncology unit is caring for a client who is receiving internal radiation therapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Wearing a lead apron protects the nurse from radiation exposure during internal radiation therapy. Allowing hand-holding, placing a dosimeter on the door, or leaving the door open are unsafe.
Question 4 of 5
A nurse is admitting a client to the emergency department after a gunshot wound to the abdomen. Which of the following actions should the nurse take to help prevent the onset of acute kidney failure?
Correct Answer: A
Rationale: Administering IV fluids maintains renal perfusion, preventing acute kidney failure. Catheter insertion, pyelogram, and beta-blockers do not address this risk directly.
Question 5 of 5
A nurse in an emergency department is reviewing a client's ECG reading. Which of the following findings should the nurse identify as an indication that the client has first-degree heart block?
Correct Answer: A
Rationale: First-degree heart block is characterized by prolonged PR intervals (>0.20 seconds) due to delayed AV node conduction. Nondiscernible P waves, more P waves than QRS, or no P-QRS correlation indicate other arrhythmias.