ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when the client identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Palpitations, sweating, and nervousness are manifestations of hypoglycemia due to sympathetic activation. Polyuria and polydipsia are associated with hyperglycemia.
Question 4 of 5
A nurse is providing teaching to a client who has a deep-vein thrombosis (DVT). Which of the following findings should the nurse identify as a risk factor for developing DVTs?
Correct Answer: A
Rationale: Oral contraceptive use increases the risk of DVT due to its effect on clotting factors. Cirrhosis, hypertension, and NSAID use are not significant risk factors.
Question 5 of 5
A nurse is assessing a client who has right-sided heart failure. Which of the following assessment findings should the nurse expect to find?
Correct Answer: B
Rationale: Pitting edema is a hallmark of right-sided heart failure due to fluid retention in the extremities. Poor skin turgor, oliguria, and S4 sounds are not typical findings.