ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 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 2 of 5
A nurse is assessing a client following the insertion of a central venous catheter. Which of the following findings indicates a pneumothorax?
Correct Answer: D
Rationale: Diminished breath sounds on the affected side indicate pneumothorax, a complication of central venous catheter insertion. Distended veins, itching, and irregular heart rate are not specific.
Question 3 of 5
A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the nurse to report?
Correct Answer: C
Rationale: A platelet count of 70,000/mm indicates thrombocytopenia, increasing bleeding risk, and is the priority to report. Ascites, clay-colored stools, and elevated alkaline phosphatase are concerning but less urgent.
Question 4 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 5 of 5
A nurse is planning care for an older adult client who has Ménière's disease. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Changing positions slowly prevents dizziness and falls in Ménière's disease. Neck exercises, aspirin, and fluid restriction are not standard interventions.