ATI RN
Adult Medical Surgical ATI Questions
Question 1 of 5
A client with tuberculosis is starting medication therapy with isoniazid, rifampin, and pyrazinamide. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Rationale: Taking pyrazinamide on an empty stomach can cause stomach upset. Drinking water helps prevent this. A: Isoniazid should be taken on an empty stomach, not with an antacid. B: Sputum specimens are usually collected at the beginning of treatment, not every 2 weeks. C: Negative sputum cultures might not be achieved until later in treatment, not after 6 months.
Question 2 of 5
When teaching a client with chronic obstructive pulmonary disease who will start using fluticasone via MDI twice daily, which instruction should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Inspect your mouth for lesions daily. This instruction is essential because fluticasone, a corticosteroid, can cause oral thrush as a side effect. By inspecting the mouth daily, the client can detect any lesions early and seek appropriate treatment. Monitoring heart rate (A) is not necessary for fluticasone use, as it does not typically affect heart rate. While it is important not to skip doses (D), the specific instruction about the morning dose is not as crucial. Avoiding the use of fluticasone for acute attacks (C) is correct, but it is not the most important instruction in this scenario.
Question 3 of 5
A client with chronic obstructive pulmonary disease is receiving dietary teaching from a nurse. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Limit fluid intake with meals. This instruction is important for a client with COPD because excessive fluid intake during meals can lead to increased stomach distention, which can worsen breathing difficulties. By limiting fluid intake with meals, the client can reduce the risk of feeling bloated and experiencing shortness of breath. A: Eating 3 balanced meals each day is generally a good recommendation, but it does not specifically address the needs of a client with COPD. C: Although reducing sodium intake can be beneficial for managing COPD, it is not as directly related to dietary considerations during meals. D: Taking a bronchodilator 1 hour before eating is not a dietary instruction and does not address the issue of fluid intake during meals.
Question 4 of 5
A client is postoperative following an intermaxillary fixation due to multiple facial fractures. Which type of equipment should be at the client's bedside?
Correct Answer: A
Rationale: The correct answer is A: Wire cutters. In postoperative intermaxillary fixation, wire cutters are essential at the bedside in case of an emergency airway obstruction or need for immediate removal of the fixation. Wire cutters allow quick access to the airway without causing harm to the client. B: NG tube is not necessary for postoperative intermaxillary fixation. C: Urinary catheter tray is not directly related to the client's airway or fixation. D: IV infusion pump is not specifically required for managing intermaxillary fixation emergencies. In summary, wire cutters are crucial for ensuring client safety and airway management in postoperative intermaxillary fixation, making it the most appropriate equipment to have at the bedside.
Question 5 of 5
A client in the late stage of inhalation anthrax requires a plan of care. What is appropriate to include in the plan of care?
Correct Answer: A
Rationale: Step 1: Inhalation anthrax causes severe respiratory distress. Step 2: Providing respiratory support helps maintain oxygenation. Step 3: Oxygen therapy or mechanical ventilation may be needed. Step 4: This choice directly addresses the critical needs of the client. Summary: - B: Droplet isolation is not needed as anthrax is not transmitted person-to-person. - C: Antihypertensive medications are irrelevant to inhalation anthrax treatment. - D: Ascites monitoring is not a priority in late-stage inhalation anthrax.