ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?

A. A client who has diabetes mellitus and is presenting with acute ketoacidosisB. An older adult client who was admitted with aspiration pneumoniaC. A client who has a compound fracture of the right femurD. A client who reports having fever, night sweats, and cough for 2 days

Correct Answer: D

Rationale: Fever, night sweats, and cough (
D) suggest possible TB, requiring airborne isolation in a private room. DKA (
A), pneumonia (
B), and fractures (
C) do not require private rooms.

Question 2 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 3 of 5

A nurse is teaching about food choices to a client who has chronic kidney disease and must limit potassium intake. Which of the following choices should the nurse recommend as containing the least potassium?

A. 2 tbsp peanut butterB. 1 cup white riceC. 1/2 cup nonfat yogurtD. 1 medium baked potato with skin

Correct Answer: B

Rationale: White rice (
B) has low potassium compared to peanut butter (
A), yogurt (
C), and potatoes (
D), which are high-potassium foods restricted in kidney disease.

Question 4 of 5

A nurse is planning care for a client who has a seizure disorder. Which of the following equipment should the nurse place in the client's room?

A. NG tubeB. Wrist restraintsC. Oral airwayD. Tongue blade

Correct Answer: C

Rationale: An oral airway (
C) ensures airway patency during a seizure. NG tubes (
A) are unrelated, restraints (
B) are not routine, and tongue blades (
D) are unsafe.

Question 5 of 5

A nurse in the emergency department is evaluating a young adult client for bacterial meningitis. Which of the following actions should the nurse take as part of the focused assessment?

A. Gently elevate the client's head and note any nuchal rigidity.B. Run a tongue blade on the outside of the client's sole and note any flaring of the toesC. Strike the client's patellar tendon with a percussion hammer and note any increase in response.D. Tap the client's facial nerve and note any facial twitching

Correct Answer: A

Rationale: Nuchal rigidity (
A) is a hallmark of meningitis due to meningeal irritation. Babinski's test (
B), patellar reflex (
C), and Chvostek's sign (
D) assess unrelated conditions.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN