ATI RN Adult Med-Surg 2023

Extract:

Question 1 of 5

A nurse in the emergency department is managing the care of a client who has an electrical shock injury. Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Electrical shock injuries can cause cardiac arrhythmias, making an ECG the priority to assess heart function.

Question 2 of 5

A nurse is teaching the family of a client who has Alzheimer's disease about caring for the client at home. Which of the following instructions should the nurse include?

A. Cover electrical outlets in the client's home with tape. B. Keep the client's bedroom dark at night. C. Hang a monthly calendar in the client's bedroom. D. Place a large-face clock in the client's bedroom.

Correct Answer: D

Rationale: A large-face clock helps clients with Alzheimer's maintain orientation to time.

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/L B. Initiate cardiac monitoring C. Regular insulin 20 units subcutaneously D. Regular insulin continuous intravenous infusion, titrate per diabetic ketoacidosis (DKA) protocol once potassium is greater than 3.3 mEq/L E. 0.9% sodium chloride at 15 ml/kg/hr for 1 hr and then reduce to 10 ml/kg/hr F. Dextrose 5% in water (DSW) intravenous at 5 ml/kg/hr for 4 hr G. 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 preparing to administer fresh frozen plasma to a client. Which of the following actions should the nurse take?

A. Administer the transfusion through a 25-gauge saline lock. B. Administer the plasma immediately after thawing. C. Transfuse the plasma over 4 hr. D. Hold the transfusion if the client is actively bleeding.

Correct Answer: B

Rationale: Fresh frozen plasma must be administered immediately after thawing to maintain efficacy.

Question 5 of 5

A nurse is asking a preoperative client about food allergies. Which of the following food allergies indicates a potential reaction to propofol?

A. Shellfish B. Eggs C. Strawberries D. Avocados

Correct Answer: B

Rationale: Propofol contains egg lecithin, posing a risk for clients with egg allergies.

ATI RN Adult Med-Surg 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN