ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse in a clinic is assessing a client who has type 1 diabetes mellitus. The client is diaphoretic, has a heart rate of 92/min, and reports palpitations. The client states, 'I went for my morning run and feel exhausted.' Which of the following responses should the nurse make?

A. It becomes easier when exercise is a routine.B. Did you decrease your insulin intake before you exercised?C. Were you careful to not have carbohydrates after the run?D. It is normal to feel this way after a morning run.

Correct Answer: B

Rationale: Symptoms suggest hypoglycemia, common in type 1 diabetes post-exercise. Asking about insulin adjustment (
B) identifies potential causes. Routine exercise (
A), avoiding carbs (
C), or normalizing symptoms (
D) ignores the issue.

Question 2 of 5

A nurse is planning care for a client who requires insertion of a peripherally inserted central catheter (PICC) line. Which of the following actions should the nurse plan to take?

A. Use a 3 mL syringe when flushing the PICC line.B. Flush the PICC line with 0.9% sodium chloride after medication administration.C. Expect the PICC line to be inserted into a lower extremity vein.D. Monitor for a pneumothorax following insertion of the PICC line.

Correct Answer: B

Rationale: Flushing with 0.9% sodium chloride (
B) maintains PICC patency post-medication. A 10 mL syringe is used (A is incorrect), PICCs are inserted in upper extremities (C is incorrect), and pneumothorax is a risk with central lines, not typically PICCs (
D).

Question 3 of 5

A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of the following findings should the nurse include as an indication the client is no longer infectious?

A. Client no longer coughing up blood-tinged sputumB. Mantoux skin test revealing an induration of less than 1 mmC. Negative sputum cultures for acid-fast bacillusD. Positive Quantiferon-TB Gold test (negative)

Correct Answer: C

Rationale: Negative sputum cultures (
C) confirm the absence of active TB bacteria, indicating non-infectiousness. Hemoptysis (
A) is a symptom, Mantoux (
B) assesses exposure, and Quantiferon (
D) is not used for infectiousness.

Question 4 of 5

A nurse working in the emergency department is admitting a client who has pertussis. Which of the following actions should the nurse take?

A. Perform a Mantoux skin test on the client.B. Wear a surgical mask when providing care to the client.C. Recommend that the client's family members receive antiviral therapy.D. Assign the client to a negative-pressure airflow room.

Correct Answer: B

Rationale: A surgical mask (
B) prevents droplet transmission of pertussis. Mantoux (
A) tests TB, antivirals (
C) are for viral infections, and negative-pressure rooms (
D) are for airborne diseases.

Question 5 of 5

A nurse in the emergency department is monitoring a client who is receiving dopamine to treat hypovolemic shock. Which of the following findings should the nurse identify as an indication for increasing the client's dopamine dosage?

A. Oxygen saturation 95%B. Respiratory rate 14/minC. Blood pressure 90/50 mm HgD. Heart rate 60/min

Correct Answer: C

Rationale: Low blood pressure (
C) indicates inadequate perfusion, warranting a dopamine increase. Normal oxygen (
A), respiratory rate (
B), and heart rate (
D) do not require dose adjustment.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN