ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse in a provider's office is evaluating a client who has been taking lisinopril for hypertension. The nurse should identify which of the following findings as an adverse effect of this medication?

A. LeukocytosisB. CoughC. HypokalemiaD. Bradycardia

Correct Answer: B

Rationale: A dry cough (
B) is a common side effect of ACE inhibitors like lisinopril due to bradykinin accumulation. Leukocytosis (
A), hypokalemia (
C), and bradycardia (
D) are not typical adverse effects.

Question 2 of 5

A nurse is providing discharge teaching to a client who is postoperative following a total hip arthroplasty. Which of the following statements should the nurse make?

A. Twist at the waist when standing from a seated position.B. Move your stronger leg first when using a walker.C. Apply a heating pad to the operative hip to decrease pain.D. Use a raised toilet seat to maintain your hips above your knees.

Correct Answer: D

Rationale: A raised toilet seat (
D) prevents hip flexion beyond 90°, reducing dislocation risk. Twisting (
A) and heat (
C) increase risk, and stronger leg movement (
B) is not specific.

Question 3 of 5

A nurse is caring for a client who has a spinal cord injury and has developed autonomic dysreflexia. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer: C,A,D,B

Rationale: Upright positioning (
C) reduces blood pressure, checking bladder (
A) addresses triggers, antihypertensives (
D) manage hypertension, and documentation (
B) follows treatment.

Question 4 of 5

A nurse is teaching a client who has left-sided weakness how to use a quad cane. Which of the following client actions indicates an understanding of the teaching?

A. The client advances the weaker leg forward to the cane.B. The client holds the cane with their left hand.C. The client takes a step with their right foot first.D. The client moves the cane 2 feet ahead.

Correct Answer: A

Rationale: Advancing the weaker leg to the cane (
A) provides stability by aligning support with the weaker side. The cane should be held in the stronger hand (B is incorrect), stepping with the stronger leg first (
C) is not the taught sequence, and moving the cane too far (
D) risks imbalance.

Question 5 of 5

A nurse is caring for a client who is receiving morphine through a PCA device. Which of the following actions should the nurse take?

A. Monitor the client's respiratory status every 4 hr.B. Administer an oral opioid for breakthrough pain.C. Teach the client how to self-medicate using the PCA device.D. Encourage family members to press the PCA button for the client.

Correct Answer: C

Rationale: Teaching PCA use (
C) empowers the client to manage pain safely. Monitoring should be more frequent (
A), oral opioids (
B) require orders, and family use (
D) risks overdose.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN