ATI RN Adult Medical Surgical 2023 IV

Question 1 of 5

A nurse is triaging clients following a mass casualty accident. Which of the following clients should be the nurse's priority?

A. A client who has an open fractured femur and reports severe painB. A client who has vomited twice and has contusions to both arms and shouldersC. A client who has a metal bar protruding from the upper abdomen and is hyperventilatingD. A client who has several large lacerations to the upper extremities and can explain what occurred

Correct Answer: C

Rationale: A client with a penetrating abdominal injury and hyperventilation (
C) indicates potential internal bleeding and shock, requiring immediate intervention. Fractures (
A), vomiting (
B), and lacerations (
D) are less immediately life-threatening.

Question 2 of 5

A nurse in a provider's office is evaluating a client who has been taking lisinopril for hypertension. The nurse should identify which of the following findings as an adverse effect of this medication?

A. LeukocytosisB. CoughC. HypokalemiaD. Bradycardia

Correct Answer: B

Rationale: A dry cough (
B) is a common side effect of ACE inhibitors like lisinopril due to bradykinin accumulation. Leukocytosis (
A), hypokalemia (
C), and bradycardia (
D) are not typical adverse effects.

Question 3 of 5

A nurse on a medical-surgical unit is planning care for a client who has dementia and a history of wandering. Which of the following actions should the nurse plan to implement?

A. Use chemical restraints at bedtime.B. Use a bed alarm.C. Move client to a double room.D. Encourage participation in activities that provide excessive stimulation.

Correct Answer: B

Rationale: A bed alarm (
B) alerts staff to wandering, enhancing safety. Chemical restraints (
A) are a last resort, double rooms (
C) may increase confusion, and overstimulation (
D) can exacerbate agitation.

Question 4 of 5

A nurse on a medical-surgical unit is preparing to administer amoxicillin PO when the client refuses the medication. Which of the following actions should the nurse take?

A. Record the client's refusal in the electronic health record.B. Leave the medication at the client's bedside for them to take later.C. Schedule the client's medication for a later time.D. Prepare the client's medication intravenously instead of PO.

Correct Answer: A

Rationale: Documenting refusal (
A) ensures legal and clinical accountability. Leaving medication (
B) is unsafe, rescheduling (
C) requires provider input, and IV administration (
D) needs a new order.

Question 5 of 5

A nurse is providing dietary instructions to a client who has cardiovascular disease. The nurse should identify that which of following statements by the client indicates an understanding of the teaching?

A. I will use canola oil when making salad dressing.B. I will drink whole milk with my cereal.C. I will increase my intake of canned vegetables.D. I will limit my portions of meat to 8 ounces.

Correct Answer: A

Rationale: Canola oil (
A) reduces cardiovascular risk with low saturated fat. Whole milk (
B), canned vegetables (
C), and large meat portions (
D) are not heart-healthy choices.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN