PN ATI Learning System Medical Surgical Final Quiz

Question 1 of 5

A nurse is obtaining a weekly weight for a client who has obesity and osteoarthritis and is on a weight management program. The nurse determines that the client gained 1.36 kg (3 lb) in the past week. Which of the following statements should the nurse make?

A. You should try a little harder to stick to your diet.B. Why do you think you've gained 3 pounds this week?C. Were there any issues last week that kept you from focusing on your diet?D. You should put this week behind you and adhere to your diet from this point forward.

Correct Answer: C

Rationale: This statement is empathetic and supportive. It shows that the nurse is interested in the client's situation and wants to help them identify and overcome any obstacles that may have affected their weight loss.

Question 2 of 5

A nurse in a provider's office is caring for a client who has blepharitis. Which of the following actions should the nurse take first?

A. Reinforce teaching with the client about proper instillation of antibiotic eye drops.B. Apply warm compresses to the affected eye.C. Dim the lights in the client examination room.D. Inspect the eyes for drainage or redness.

Correct Answer: D

Rationale: The first step in the nursing process is assessment. Even with a diagnosis of blepharitis, the nurse must inspect the eyes to evaluate the current severity, presence of drainage (e.g., purulent vs. serous), redness, or signs of secondary infection (e.g., bacterial involvement). This informs subsequent interventions.

Question 3 of 5

A nurse is caring for a client who is scheduled to receive intermittent peritoneal dialysis. Which of the following actions should the nurse take?

A. Weigh the client before and after each dialysis treatment.B. Apply clean gloves when handling the bags of dialysate fluid.C. Refrigerate the bags of dialysate fluid until ready for instillation.D. Check peripheral circulation of the client's arms prior to treatment.

Correct Answer: A

Rationale: Weighing the client before and after each dialysis treatment can help monitor the fluid balance and the effectiveness of the dialysis.

Question 4 of 5

A home health nurse enters a client's home and finds a used insulin syringe, without a cap, on the table. Which of the following actions should the nurse take?

A. Recap the needle on the syringe.B. Schedule a nurse to administer future injections for this client.C. Explain to the client that the syringe should be disposed of in the bathroom trash can.D. Place the syringe in a puncture-proof disposal container.

Correct Answer: D

Rationale: Placing the syringe in a puncture-proof disposal container can prevent accidental injuries and infections, and comply with the local regulations for sharps disposal.

Question 5 of 5

A nurse is contributing to the plan of care for a client during a sickle cell crisis. Which of the following interventions should the nurse recommend?

A. Ambulate the client every 1 hr.B. Apply cold compresses to painful joints.C. Withhold opioids until the crisis is resolved.D. Administer oxygen via nasal cannula.

Correct Answer: D

Rationale: Administering oxygen via nasal cannula can improve the oxygen saturation and prevent further sickling of the red blood cells.

PN ATI Learning System Medical Surgical Final Quiz | Nurselytic

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