ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 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 2 of 5
A nurse is providing discharge teaching to a client following a modified left radical mastectomy with breast expander. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Expecting less than 25 mL of secretions daily indicates proper wound healing and understanding of drainage device management. Waiting 2 months delays reconstruction, flexing the arm impairs drainage, and heavy weights risk incision strain.
Question 3 of 5
A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg fiberglass cast. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Intense pain with movement is an early sign of compartment syndrome due to increased pressure compromising tissue perfusion. Bounding pulses, erythema, and normal capillary refill are not typical early indicators.
Question 4 of 5
A nurse is caring for a client who has been receiving total parenteral nutrition (TPN) for 1 week. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: A calcium level of 11.5 mg/dL indicates hypercalcemia, a TPN complication that may require formula adjustment or diuretics. Other findings are within normal or expected ranges for TPN.
Question 5 of 5
A nurse in an emergency department is preparing a client for emergency surgery. The client's blood alcohol level is 180 mg/dL. Which of the following actions is the nurse's priority?
Correct Answer: A
Rationale: Obtaining informed consent is the priority, as a high blood alcohol level may impair the client's ability to understand and consent, possibly requiring a legal representative. Other actions are secondary.