ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has endometriosis about the adverse effects of leuprolide. Which of the following manifestations should the nurse include in the teaching?
Correct Answer: C
Rationale: Leuprolide can cause bone loss, increasing the risk of osteoporosis. Pallor, increased appetite, and hypoglycemia are not common side effects.
Question 2 of 5
A nurse is caring for a client who is 6 hours postoperative following the application of an external fixator for a tibial fracture. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Palpating the dorsalis pedis pulse assesses for neurovascular complications, a priority post-fixator application. Wrapping pins, adjusting clamps, or keeping the limb dependent are not standard or safe actions.
Question 3 of 5
A nurse is assessing a client who has a new prescription for levothyroxine. Which of the following findings should the nurse identify as an indication that the client requires a lower dose of the medication?
Correct Answer: B
Rationale: Tremors indicate possible overmedication with levothyroxine, suggesting a need for a lower dose. Weight gain, bradycardia, and hypotension are signs of under-treatment or other issues.
Question 4 of 5
A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion?
Correct Answer: A
Rationale: Cool, clammy skin is a classic sign of hypoglycemia due to sympathetic nervous system activation. Acetone breath, Kussmaul respirations, and increased urine output are associated with hyperglycemia.
Question 5 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.