Questions 89

ATI RN

ATI RN Test Bank

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 1 day postoperative following an appendectomy. Which of the following findings should the nurse report to the provider?

Correct Answer: D

Rationale: A hemoglobin of 10 mg/dL suggests blood loss, requiring immediate reporting. Normal WBC, mild pain, and serosanguineous exudate are expected post-appendectomy.

Question 2 of 5

A nurse is providing dietary teaching to a client who has heart failure and a new prescription for a 2-g sodium diet. Which of the following client statements should the nurse identify as an understanding of the teaching?

Correct Answer: B

Rationale: Lemon juice is a low-sodium flavoring suitable for a 2-g sodium diet. Canned vegetables, salt, and baking soda are high in sodium and should be avoided.

Question 3 of 5

A nurse is admitting a client who reports chest pain and has been placed on a telemetry monitor. Which of the following should the nurse analyze to determine whether the client is experiencing a myocardial infarction?

Correct Answer: B

Rationale: ST segment elevation or depression indicates myocardial infarction due to ischemia. Other components reflect different cardiac functions.

Question 4 of 5

A nurse in an emergency department is preparing a client for emergency surgery. The client's blood alcohol level is 180 mg/dL. Which of the following actions is the nurse's priority?

Correct Answer: A

Rationale: Obtaining informed consent is the priority, as a high blood alcohol level may impair the client's ability to understand and consent, possibly requiring a legal representative. Other actions are secondary.

Question 5 of 5

A nurse is teaching a group of clients who have cancer about radiation therapy. Which of the following activities should the nurse include in the teaching?

Correct Answer: B

Rationale: Limiting sports that cause bruising reduces bleeding risk due to radiation-induced thrombocytopenia. Sun exposure should be minimized, diet should include fruits/vegetables, and socializing is safe unless neutropenic.

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