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 to identify risk factors for colorectal cancer. The nurse should identify which of the following findings as increasing the client's risk?
Correct Answer: A
Rationale: Crohn's disease increases colorectal cancer risk due to chronic inflammation. High-fiber diets, age 46, and normal BMI are not significant risk factors.
Question 2 of 5
A nurse is assessing a client who has acute kidney failure. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Weight gain of 1.1 kg in 24 hours indicates fluid retention, worsening kidney failure, and requires reporting. Other findings are normal or expected.
Question 3 of 5
A nurse is caring for a client who has diabetes insipidus. Which of the following medications should the nurse plan to administer?
Correct Answer: D
Rationale: Desmopressin, a synthetic ADH, treats diabetes insipidus by reducing urine output. Lithium and furosemide worsen it, and insulin is for diabetes mellitus.
Question 4 of 5
A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?
Correct Answer: C
Rationale: Pancreatitis causing left shoulder pain is referred pain via the phrenic nerve. Other pains are localized to their source.
Question 5 of 5
A nurse is assessing a client who has acute kidney failure. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Rapid weight gain (1.1 kg in 24 hr) signals fluid overload in acute kidney failure, necessitating provider notification to prevent complications.