ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?
Correct Answer: A
Rationale: Thrombocytopenia (low platelets) increases bleeding risk, contraindicating heparin. Rheumatoid arthritis, thalassemia, and COPD are not contraindications.
Question 2 of 5
A nurse is completing an assessment of an older adult client and notes reddened areas over the bony prominences, but the client's skin is intact. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: C
Rationale: Supporting bony prominences with pillows relieves pressure, preventing pressure injuries. Occlusive dressings, infrequent repositioning, and massaging reddened areas can worsen the condition.
Question 3 of 5
A nurse is providing discharge teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Washing the perineal area twice daily with antimicrobial soap helps prevent infections in immunocompromised clients. Washing a toothbrush in a dishwasher, changing a pet's litter box, or changing drinking water every 4 hours are not effective or necessary.
Question 4 of 5
A nurse is providing discharge teaching about blood glucose monitoring for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should instruct the client to obtain which of the following supplies?
Correct Answer: A
Rationale: Sterile lancets are essential for pricking the skin to obtain blood samples for glucose monitoring. Compression stockings, toenail clippers, and hand mirrors are not required for this purpose.
Question 5 of 5
A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect as an indication the wound is healing?
Correct Answer: A
Rationale: Dark red granulation tissue indicates new connective tissue and blood vessel formation, a sign of wound healing. Light yellow exudate may suggest infection, dry brown eschar is dead tissue that hinders healing, and firm wound tissue is not a specific healing indicator.