ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical record of a client who has pneumonia. Which of the following serum laboratory values should the nurse expect?
Correct Answer: A
Rationale: A WBC count of 15,000/mm3 indicates leukocytosis, expected in pneumonia due to infection. Other values are normal and not directly related to pneumonia.
Question 2 of 5
A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse, 'I'm not sure I want to have a mastectomy.' Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Providing additional information respects the client's autonomy and helps informed decision-making. Suggesting a second opinion, promising cancer-free status, or sharing others' experiences is inappropriate.
Question 3 of 5
A nurse is preparing to discharge a client who has a halo device and is reviewing new prescriptions from the provider. The nurse should clarify which of the following prescriptions with the provider?
Correct Answer: A
Rationale: Driving with a halo device is unsafe due to restricted neck movement; this prescription requires clarification. Other instructions are appropriate for halo device care.
Question 4 of 5
A nurse is assessing a client who has acute kidney failure. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Rapid weight gain (1.1 kg in 24 hr) signals fluid overload in acute kidney failure, necessitating provider notification to prevent complications.
Question 5 of 5
A nurse is caring for a client following a below-the-knee amputation. The client states, 'My life is over.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Offering to connect with another amputee provides peer support and hope, addressing the client's emotional distress constructively. Other responses may dismiss or challenge feelings.