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 caring for a client who has a severe burn injury. The nurse should recognize which of the following client findings as an indication of hypovolemic shock?
Correct Answer: B
Rationale: Hyperkalemia (5.2 mEq/L) from cell destruction in burns indicates hypovolemic shock, risking cardiac complications. Normal urine output, capillary refill, and PaCO2 are not specific to shock.
Question 3 of 5
A nurse is assessing a client for a positive Chvostek's sign following a thyroidectomy. Which of the following areas on the client's head should the nurse tap to assess the client for tetany?
Correct Answer: B
Rationale: Tapping 2 cm in front of the ear over the facial nerve tests for Chvostek's sign, indicating hypocalcemia post-thyroidectomy.
Question 4 of 5
A nurse is preparing to assist with the insertion of a non-tunneled central venous catheter for a client who is malnourished. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: Confirming catheter position with a blood sample ensures proper placement. Valsalva maneuver, elevated bed, and chlorhexidine cleansing are appropriate, not coughing, lowering bed, or hydrogen peroxide.
Question 5 of 5
A nurse is performing skin cancer screening on a group of clients. Which of the following findings should the nurse identify as an indication of melanoma?
Correct Answer: D
Rationale: A flat lesion with irregular borders suggests melanoma, characterized by asymmetry, color variation, and changing appearance. Other lesions are more typical of other skin cancers.