Questions 96

ATI RN

ATI RN Test Bank

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.

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