ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Holding breaths for 3 to 5 seconds after inhaling with an incentive spirometer promotes lung expansion. Exhaling through pursed lips, placing hands on the abdomen, or positioning the mouthpiece 0.5 cm from the mouth are not correct instructions.
Question 2 of 5
A nurse is caring for a client who has anemia. Which of the following assessment findings should the nurse anticipate with the client's condition?
Correct Answer: A
Rationale: Headache is a common symptom of anemia due to reduced oxygen delivery to tissues. Bradycardia, heat intolerance, and flushed skin are not typical; anemia often causes tachycardia and pale skin.
Question 3 of 5
A nurse is preparing to administer naloxone 10 mcg/kg via IV bolus to a client who weighs 220 lb. The amount available is 0.4 mg/mL. How many mL should the nurse administer? (round off to the nearest tenth)
Correct Answer: 2.5 mL.
Rationale: Converting 220 lb to 100 kg, the dose is 10 mcg/kg × 100 kg = 1000 mcg = 1 mg. With 0.4 mg/mL, 1 mg ÷ 0.4 = 2.5 mL, which is already rounded to the nearest tenth.
Question 4 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.
Question 5 of 5
A nurse is providing teaching to a client who is receiving opioids for pain management. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Monitoring for urinary retention is important as opioids can cause this side effect. Itching is a common side effect, not necessarily allergic; restricting fluids worsens constipation; antiemetics help with nausea.