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 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: D
Rationale: Thrombocytopenia contraindicates heparin due to increased bleeding risk. COPD, rheumatoid arthritis, and thalassemia are not contraindications.
Question 2 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.
Question 3 of 5
A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Identifying the chemical irritant guides irrigation duration and treatment, making it the first step in ocular irrigation.
Question 4 of 5
A nurse in an emergency department is caring for a client who is to receive tissue plasminogen activator (tPA) for the treatment of an ischemic stroke. In which order should the nurse complete the following actions?
Correct Answer: B,A,C,D
Rationale: Checking contraindications ensures tPA safety, weighing determines dosage, administering tPA treats the stroke, and transferring to CCU provides monitoring.
Question 5 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.