ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is teaching a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Correct Answer: C
Rationale: Cloudy effluent is the earliest and most reliable sign of peritonitis in peritoneal dialysis, indicating infection in the peritoneal cavity.
Question 2 of 5
A nurse is caring for a client who understands a prescribed surgical procedure, but cannot read or write. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: If the client understands the procedure, they can sign with an X, respecting their autonomy. Involving others or notifying the team is unnecessary unless competence is in question.
Question 3 of 5
A nurse is providing discharge teaching to a client who has heart failure and instructs him to limit sodium intake to 2 g per day. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: A frozen fruit juice bar is low-sodium, aligning with a 2 g sodium diet. Vegetable juice, garlic/onion salts, and mayonnaise are high in sodium and should be avoided.
Question 4 of 5
A nurse is performing a cranial nerve assessment on a client following a head injury. Which of the following findings should the nurse expect if the client has impaired function of the vestibulocochlear nerve (cranial nerve VIII)?
Correct Answer: C
Rationale: The vestibulocochlear nerve (VIII) controls balance and hearing; impaired function causes disequilibrium.
Tongue deviation, vision loss, and inability to smell relate to other cranial nerves.
Question 5 of 5
A nurse on an oncology unit is caring for a client who is receiving internal radiation therapy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Wearing a lead apron protects the nurse from radiation exposure during internal radiation therapy. Other actions increase exposure or violate safety protocols.