ATI RN Adult Medical Surgical 2023 V

Extract:

Question 1 of 5

A charge nurse on a neurological unit is making room assignments for a group of clients. Which of the following clients should the nurse assign to the room closest to the nurses' station?

A. A client who has a score of 10 on the Glasgow Coma Scale following a motor vehicle crash B. A client who has a score of 0 on the NIH Stroke Scale following a transient ischemic attack C. A client who has a headache following a grade 1 concussion D. A client who has experienced brain death and is awaiting organ procurement

Correct Answer: A

Rationale: A Glasgow Coma Scale of 10 indicates altered consciousness, requiring close monitoring.

Question 2 of 5

A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse plan to include?

A. Request a prescription for a nightly sedative. B. Turn off all lights in the client's room at night. C. Place the client's bed at the lowest height. D. Assist the client with toileting at least once every 4 hr.

Correct Answer: C

Rationale: A low bed height reduces fall risk, a priority for dementia clients with impaired judgment.

Question 3 of 5

A nurse is caring for a client who requires protective isolation following a hematopoietic stem cell transplant. Which of the following interventions should the nurse implement to protect the client from infection?

A. Wear an N95 respirator when providing direct client care. B. Make sure the client's room has positive-pressure airflow. C. Make sure dietary plates and utensils are disposable. D. Monitor the client's temperature once every 6 hr.

Correct Answer: B

Rationale: Positive-pressure airflow prevents contaminated air from entering, protecting immunocompromised clients.

Question 4 of 5

A nurse is caring for a client who is receiving mechanical ventilation when the low pressure alarm sounds on the ventilator. Which of the following actions should the nurse take?

A. Increase the client's ventilator flow rate. B. Empty water from the client's ventilator tubing. C. Evaluate the client for a cuff leak. D. Suction the client's airway.

Correct Answer: C

Rationale: A low pressure alarm suggests a cuff leak, allowing air to escape, requiring immediate evaluation.

Question 5 of 5

A nurse is providing discharge teaching to a client who reports that they cannot afford their prescribed medication. Which of the following statements should the nurse make?

A. I can arrange for a social worker to talk with you before you leave. B. Contact your pharmacy to inquire about a different medication. C. I can contact the occupational therapist to schedule a home visit. D. You should ask your provider to prescribe a cheaper medication.

Correct Answer: A

Rationale: A social worker can assist with financial resources, addressing the client's medication affordability issue.

ATI RN Adult Medical Surgical 2023 V | Nurselytic

Nurselytic

ATI RN

ATI RN