ATI RN Adult Medical Surgical 2023 | Nurselytic

Questions 97

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ATI RN Adult Medical Surgical 2023 Questions

Question 1 of 5

A nurse is providing discharge teaching to a client who has a new prescription for sublingual nitroglycerin. Which of the following statements made by the client indicates an understanding of the teaching?

Correct Answer: B

Rationale: Taking nitroglycerin at the onset of pain relieves angina effectively.

Question 2 of 5

A nurse is caring for a client who has skeletal traction for a fracture of the lower extremity. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Inspecting pin sites daily for infection (redness, swelling, pus) allows early intervention, preventing complications like osteomyelitis. A. Removing weights disrupts traction, risking misalignment. B. Hydrogen peroxide damages tissue; saline is preferred. D. Checking ropes is secondary to infection monitoring.

Question 3 of 5

A nurse on the medical-surgical unit is caring for a client who has a seizure disorder. Which of the following interventions should the nurse include in the plan of care?

Correct Answer: B

Rationale: Padding side rails prevents injury during seizures.

Extract:

Findings upon admission:
Vital Signs

Blood pressure 106/64 mm Hg

Heart rate 95/min

Respiratory rate 20/min

Temperature 37.8° C (100° F)

Oxygen saturation 95% on O, at 3 L/min via nasal cannula


Question 4 of 5

A nurse is caring for an older adult client who was admitted with a urinary tract infection. The nurse is assessing the client 12 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.

Options Unrelated to diagnosis Indication of potential improvement Indication of potential worsening condition
Disoriented to person, place, and time
Oxygen saturation 96% at 2 L/min via nasal cannula
Hct 45%
Butterfly rash
Blood pressure 100/50 mm Hg

Correct Answer:

Rationale: Disorientation and low BP worsen UTI; improved O2 is a sign of improvement; Hct is normal; rash is unrelated.

Extract:


Question 5 of 5

A nurse is assessing a client who is taking telmisartan. The nurse should identify that which of the following findings indicates that the medication has been effective?

Correct Answer: B

Rationale: Telmisartan, an antihypertensive, is effective if it lowers blood pressure.

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