ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is reviewing a client's cardiac monitor for dysrhythmias. Which of the following findings should the nurse identify as an indication for the placement of a permanent pacemaker?
Correct Answer: B
Rationale: Complete AV block with rates below 40/min risks severe bradycardia and symptoms, necessitating a pacemaker. Other conditions are less severe or not indications.
Question 2 of 5
A nurse is providing discharge teaching for a client who has HIV. Which of the following information is the priority for the nurse to review with the client?
Correct Answer: D
Rationale: Adherence to antiretroviral therapy (ART) is critical for HIV management, making the medication schedule the priority to prevent complications and transmission.
Question 3 of 5
A nurse is teaching the family of a client who has Alzheimer's disease about caring for the client at home. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: A monthly calendar helps orient the client to time, reducing confusion in Alzheimer's disease. Covering outlets with tape poses a fire hazard, a dark bedroom increases fall risk, and while a large-face clock may help, a calendar is more effective for orientation.
Question 4 of 5
A home health nurse is assessing the home environment of a client who has cystic fibrosis. Which of the following equipment should the nurse plan to recommend?
Correct Answer: B
Rationale: A chest physiotherapy vest loosens mucus in cystic fibrosis, improving lung function. Peak flow meters are for asthma, NG tubes for gastric issues, and chest tubes for pleural conditions.
Question 5 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.