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 scheduled for a CT scan with contrast media. Which of the following medications should the nurse instruct the client to withhold for 48 hr following the procedure?
Correct Answer: C
Rationale: Metformin should be withheld for 48 hours post-CT with contrast to prevent contrast-induced acute kidney injury. Clopidogrel, furosemide, and carvedilol do not pose this risk.
Question 2 of 5
A nurse is planning care for a client who has full-thickness burns on the lower extremities. Which of the following interventions should the nurse include?
Correct Answer: D
Rationale: Applying new gloves between wound care sites prevents cross-contamination and infection, critical in burn care. Weekly equipment cleaning, fresh produce diets, and limiting child visits are not specific interventions.
Question 3 of 5
A nurse is caring for a client who is 6 hours postoperative following the application of an external fixator for a tibial fracture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Palpating the dorsalis pedis pulse assesses for neurovascular complications, a priority post-fixator application. Wrapping pins, adjusting clamps, or keeping the limb dependent are not standard or safe actions.
Question 4 of 5
A nurse in the PACU is caring for a client. Which of the following assessments is the nurse's priority?
Correct Answer: A
Rationale: Assessing respiratory status is the priority in the PACU due to the risk of respiratory depression from anesthesia. Surgical site, consciousness, and pain are important but secondary.
Question 5 of 5
A nurse is assessing a client who has right-sided heart failure. Which of the following assessment findings should the nurse expect to find?
Correct Answer: B
Rationale: Pitting edema is a hallmark of right-sided heart failure due to fluid retention in the extremities. Poor skin turgor, oliguria, and S4 sounds are not typical findings.