ATI RN
ATI RN Adult Medical Surgical 2023 Questions Correct Answers Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has AIDS and wishes to continue self-care at home despite living alone. Which of the following actions by the nurse demonstrates client advocacy?
Correct Answer: B
Rationale:
Correct
Answer: B. Remind the client of the importance of medication adherence.
Rationale: Ensuring medication adherence is crucial for managing AIDS. By reminding the client of this, the nurse advocates for the client's health and well-being. This action promotes the client's self-care and disease management, ultimately empowering the client to take control of their health.
Summary of other choices:
A: Instructing the client to avoid eating raw vegetables is not directly related to client advocacy in the context of AIDS management.
C: Telling the client to avoid large crowds does not directly address the client's ability to continue self-care at home.
D: Initiating a referral to a home health agency may be helpful but does not directly demonstrate client advocacy in this scenario.
Question 2 of 5
A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line in her left forearm. The client is receiving an antibiotic via intermittent IV bolus every 12 hr. Which of the following actions should the nurse take in managing the client's PICC line?
Correct Answer: D
Rationale:
Correct
Answer: D - Flush the catheter with a 0.9% sodium chloride solution after each use.
Rationale: Flushing the catheter with 0.9% sodium chloride solution after each use helps prevent clot formation, maintains patency, and ensures proper functioning of the PICC line. This action also helps prevent infection and occlusions.
Incorrect
Choices:
A: Accessing the catheter using a non-coring needle is not necessary for routine care of a PICC line.
B: Changing the transparent membrane dressing daily may increase the risk of infection and disrupt the integrity of the dressing.
C: Maintaining a continuous IV infusion through the PICC line is not indicated for a client receiving intermittent IV bolus antibiotics.
E, F, G: No additional choices provided.
Question 3 of 5
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates effectiveness of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I should expect my lesions to resolve in 6 weeks." This indicates effectiveness of teaching because it shows the client understands the natural course of genital herpes and the expected timeline for resolution.
Choice A is incorrect because antibiotic ointment is not recommended for herpes.
Choice B is incorrect because natural skin condoms do not provide adequate protection against herpes.
Choice D is incorrect because treatment duration may vary and is not always 3 weeks.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and has a referral for dietary consult. The client tells the nurse, 'I will have to eat whatever the dietitian tells me.' Which of the following statements by the nurse encourages the client's involvement in their plan of care?
Correct Answer: C
Rationale: The correct answer is C because it encourages the client's involvement in their plan of care by actively engaging them in the decision-making process. By offering to assist the client in making a list of foods they like for the dietitian, the nurse is promoting client autonomy and empowerment. This approach helps the client feel more in control of their dietary choices and encourages collaboration between the client, nurse, and dietitian.
Choice A is incorrect as it does not actively involve the client in decision-making.
Choice B acknowledges the client's feelings but does not directly engage them in the process.
Choice D focuses on the client's responsibilities but does not promote active participation.
Question 5 of 5
A nurse is planning care for a client who is 12 hr postoperative following a kidney transplant. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Assess urine output hourly. This is important postoperatively to monitor kidney function and ensure adequate perfusion. Hourly assessment allows for early detection of any changes in urine output, which can indicate complications such as acute kidney injury. Checking blood pressure every 8 hours (
Choice
A) may be necessary but is less critical in the immediate postoperative period. Administering opioids PO (
Choice
C) can mask changes in the client's condition and should be avoided until kidney function is stable. Monitoring for hypokalemia (
Choice
D) is important but not the priority in the immediate postoperative period.