ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has diabetes mellitus about foot care. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Cotton socks are breathable, reducing infection risk. Heating pads, loose slippers, and hot water with antibacterial soap increase risks of burns or injury.
Question 2 of 5
A nurse is caring for a client who is 48 hr postoperative following a small bowel resection. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Vomiting dark green fluid suggests a potential bowel obstruction or ileus, a serious complication requiring immediate reporting. Normal urine output, serosanguineous drainage, and slight fever are less urgent.
Question 3 of 5
A nurse is caring for a client who is receiving a blood transfusion. The nurse observes that the client has bounding peripheral pulses, hypertension, and distended jugular veins. The nurse should anticipate administering which of the following prescribed medications?
Correct Answer: B
Rationale: Bounding pulses, hypertension, and distended jugular veins suggest fluid overload from transfusion, warranting furosemide to reduce fluid volume. Diphenhydramine, acetaminophen, and pantoprazole address other issues.
Question 4 of 5
A nurse is caring for a client who has just returned from surgery with an external fixator to the left tibia. Which of the following assessment findings requires immediate intervention by the nurse?
Correct Answer: A
Rationale: A capillary refill of 6 seconds indicates poor blood flow, requiring immediate intervention to prevent tissue damage. Pain, slight fever, and drainage are concerning but less urgent.
Question 5 of 5
A nurse in a provider's office is caring for a client who has total vision loss and is the handler of a service dog. Which of the following actions should the nurse take to show consideration for the client and the service animal?
Correct Answer: B
Rationale: Consulting the client before approaching the service dog respects the dog's role and the client's preferences, preventing distraction. Petting, offering water, or commanding the dog can interfere with its duties.