ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 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 2 of 5
A nurse is planning to teach a client whose provider has prescribed a low-purine diet. The nurse should plan to instruct the client that he can include which of the following foods in his diet? (Select all that apply.)
Correct Answer: B,D
Rationale: Apricots and nuts are low-purine foods suitable for a low-purine diet. Sardines, scallops, and liver are high-purine and should be avoided.
Question 3 of 5
A nurse is reviewing the medical record of a client who is to undergo open heart surgery. Which of the following findings should the nurse report to the provider as a contraindication to receiving heparin?
Correct Answer: A
Rationale: Thrombocytopenia (low platelets) increases bleeding risk, contraindicating heparin. Rheumatoid arthritis, thalassemia, and COPD are not contraindications.
Question 4 of 5
A nurse is caring for a client who has advanced liver disease. Which of the following laboratory results should the nurse monitor when assessing this client?
Correct Answer: B
Rationale: Serum ammonia levels are elevated in advanced liver disease due to impaired detoxification, contributing to hepatic encephalopathy. Glucose, troponin, and phosphate are not primary indicators.
Question 5 of 5
A nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that the client is discharged with which of the following types of pharmacologic therapy?
Correct Answer: A
Rationale: Antithrombotic therapy prevents blood clots and reduces the risk of recurrent ischemic stroke. Diuretics, anticonvulsants, and opioid analgesics are not typically used for stroke prevention.