ATI RN Adult Med-Surg 2023

Extract:

Question 1 of 5

A client who is deaf and communicates using sign language is being admitted by a nurse who does not know sign language. Which of the following actions should the nurse take?

A. Obtain a board that uses colored pictures as communication.B. Request an interpreter during the initial assessment.C. Familiarize themselves with commonly used signed language.D. Ask a family member to be present during the admission.

Correct Answer: B

Rationale: An interpreter ensures accurate communication during the admission process.

Question 2 of 5

A nurse is reviewing the medical record of a client who has nephrotic syndrome. Which of the following findings should the nurse expect?

A. Decreased coagulationB. ProteinuriaC. Decreased serum lipid levelsD. Hyperalbuminemia

Correct Answer: B

Rationale: Nephrotic syndrome causes proteinuria due to increased glomerular permeability.

Extract:

Nurses' Notes
Vital Signs
Laboratory Results
0900:

Client came to the emergency department this morning and reports not feeling well for the last 12 hr and increasing blood glucose. Client has a history of type 1 diabetes mellitus and hypertension. Client weight is 88 kg (194 lb). The client was recently treated for bronchitis and pneumonia. Client reports nausea and decreased appetite. Client is alert and orientated x 4, heart and lung sounds are clear. Client states that they have been frequently urinating and are extremely thirsty. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 1+. Slight tenting of skin.

Peripheral IV established and labs drawn.

Question 3 of 5

A nurse is caring for a client in the emergency department. Which of the following provider prescriptions does the nurse anticipate?

A. Potassium chloride 20 mEq/L intravenous PRN potassium less than 5.0 mEq/LB. Initiate cardiac monitoringC. Regular insulin 20 units subcutaneouslyD. Regular insulin continuous intravenous infusion, titrate per diabetic ketoacidosis (DKA) protocol once potassium is greater than 3.3 mEq/LE. 0.9% sodium chloride at 15 ml/kg/hr for 1 hr and then reduce to 10 ml/kg/hrF. Dextrose 5% in water (DSW) intravenous at 5 ml/kg/hr for 4 hrG. Blood glucose checks every 4 hr

Correct Answer: D,E,

Rationale: DKA treatment includes insulin infusion, fluid resuscitation with saline, and monitoring urine output.

Extract:

Question 4 of 5

A nurse is caring for a client who has a herniated disc and is scheduled for a peripheral nerve block. The client tells the nurse, 'I am afraid to have this procedure.' Which of the following responses should the nurse make?

A. After this procedure, you will feel much better.B. Let's discuss your concerns about this procedure.C. Are you afraid of needles that will be used during the procedure?D. Tell me why you are scared to have this procedure.

Correct Answer: B

Rationale: Discussing concerns validates the client's feelings and encourages communication.

Question 5 of 5

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

A. Instruct the client to sit on a rubber ring when seated in a chair.B. Raise the head of the client's bed to a 90Â° angle.C. Use moisturizing lotion while massaging the client's bony prominences.D. Place pillows between the client's knees when in a side-lying position.

Correct Answer: D

Rationale: Pillows between the knees prevent adduction and pressure sores in hemiplegia.

ATI RN Adult Med-Surg 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN