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 high WBC count (15,000/mm3) is expected in pneumonia due to the inflammatory response to infection. Sodium, BUN, and hematocrit are not directly affected by pneumonia.
Question 2 of 5
A nurse is preparing to administer a unit of packed RBCS to a client. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: A 20-gauge or larger needle is required to prevent hemolysis during RBC transfusion. Y tubing is unnecessary, transfusion should take 2-4 hours, and vital signs are monitored before, during, and after.
Question 3 of 5
A nurse is teaching about measures to prevent recurring urinary tract infections with a female client. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Drinking 3 L of fluids, wiping front to back, and low-fructose cranberry juice prevent bacterial growth and contamination. Bubble baths increase infection risk, and voiding every 2-3 hours is preferred.
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 providing discharge teaching about foot care to a client who is newly diagnosed with type 1 diabetes mellitus. Which of the following information should the nurse include?
Correct Answer: D
Rationale: Trimming toenails straight across prevents ingrown nails and infection. Daily inspections, avoiding lotion between toes, and not soaking feet reduce infection and injury risks.