ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medication list of a client who is being admitted with diabetes insipidus. Which of the following medications places the client at an increased risk for developing diabetes insipidus?
Correct Answer: D
Rationale: Lithium can cause diabetes insipidus by impairing kidney response to antidiuretic hormone. Propranolol, atorvastatin, and ranitidine do not have this effect.
Question 2 of 5
A nurse is teaching a client who has AIDS and wishes to continue self-care at home despite living alone. Which of the following actions by the nurse demonstrates client advocacy?
Correct Answer: D
Rationale: Initiating a home health agency referral supports the client's self-care while providing necessary resources, demonstrating advocacy. Avoiding crowds, raw vegetables, or emphasizing medication adherence are precautions, not advocacy.
Question 3 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: A
Rationale: Thrombocytopenia (low platelets) increases bleeding risk, contraindicating heparin. Rheumatoid arthritis, thalassemia, and COPD are not contraindications.
Question 4 of 5
A nurse is completing discharge teaching with a client who has a peripherally inserted central catheter (PICC) line in the left arm. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Using a 10-mL syringe to flush a PICC line prevents catheter damage. Hydrogen peroxide is not used, dressings are changed every 3-7 days, and arm elevation is not restricted.
Question 5 of 5
A nurse on a medical unit is planning care for a group of clients. Which of the following clients should the nurse attend to first?
Correct Answer: B
Rationale: A nosebleed in a client with thrombocytopenia indicates a risk of significant bleeding due to low platelets, requiring immediate attention. COPD with 89% saturation, stable stroke symptoms, and MS symptoms are less urgent.