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ATI RN Adult Medical Surgical 2023 IV Questions

Question 1 of 5

A nurse is caring for a client who has a spinal cord injury and has developed autonomic dysreflexia. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Order the Items

Source Container

Confirm that the client's bladder is empty.
Indicate the risk for autonomic dysreflexia in the client's medical record.
Place the client in an upright sitting position.
Administer an antihypertensive medication intravenously.

Correct Answer: C,A,D,B

Rationale: Upright positioning (
C) reduces blood pressure, checking bladder (
A) addresses triggers, antihypertensives (
D) manage hypertension, and documentation (
B) follows treatment.

Question 2 of 5

A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of the following findings should the nurse include as an indication the client is no longer infectious?

Correct Answer: C

Rationale: Negative sputum cultures (
C) confirm the absence of active TB bacteria, indicating non-infectiousness. Hemoptysis (
A) is a symptom, Mantoux (
B) assesses exposure, and Quantiferon (
D) is not used for infectiousness.

Question 3 of 5

A nurse is assessing a client who has major full-thickness burns to their lower legs 12 hr ago. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: Edema (
D) is expected 12 hours post-burn due to vascular permeability. Full-thickness burns lack blisters (
A) and pain (
B) due to nerve damage, and epithelialization (
C) occurs later.

Question 4 of 5

A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?

Correct Answer: B

Rationale: Cloudy effluent (
B) is the earliest sign of peritonitis in peritoneal dialysis, indicating infection. Fever (
A), tachycardia (
C), and pain (
D) appear later.

Question 5 of 5

A nurse is preparing to administer ceftazidime 2 g via intermittent IV over 30 min to a client who has osteomyelitis. The amount available is ceftazidime 2 g/50 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 100

Rationale: 50 mL over 30 min equals 100 mL/hr (50 mL ÷ 0.5 hr = 100 mL/hr), ensuring correct antibiotic delivery for osteomyelitis.

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