ATI RN Adult Medical Surgical 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?

A. Titrate IV fluids to maintain urine output at 75 mL/hr. B. Administer an opioid pain medication, C. Change dressings over the entrance and exit wounds. D. Obtain an ECG

Correct Answer: D

Rationale: Obtaining an ECG first assesses for cardiac arrhythmias caused by electrical injury.

Question 2 of 5

A nurse is caring for a client who has pulmonary edema and a new prescription for furosemide 40 mg IV twice daily. Which of the following client findings indicates the prescription is appropriate?

A. Blood pressure 100/70 mm Hg B. Vesicular breath sounds over the peripheral lung fields C. Bilateral coarse, crackle breath sounds D. Potassium 3.2 mEq/L (3.5 mEq/L to 5.0 mEq/L)

Correct Answer: C

Rationale: Bilateral coarse crackles are hallmark signs of pulmonary edema, caused by fluid leaking into alveoli from increased left heart pressure. Furosemide, a loop diuretic, reduces this fluid by enhancing renal excretion, relieving lung congestion. This finding directly correlates with the drug's purposeâ€”removing excess fluid to improve oxygenation and reduce respiratory distress. A. Blood pressure of 100/70 mm Hg may suggest fluid overload but is not specific. B. Vesicular sounds indicate healthy lungs, not requiring diuretics. D. Low potassium is a side effect, not an indication.

Question 3 of 5

A nurse is teaching a client who has hypothyroidism. Which of the following information should the nurse include in the teaching? (Select all that apply)

A. You will take medication for this condition for several months B. This condition can cause you to gain weight C. We will perform laboratory tests to monitor the effect of your medication D. You might notice that you perspire more with this condition E. You will need to eat a high-fiber diet to prevent complications of this condition

Correct Answer: B,C,E

Rationale: B. Hypothyroidism slows metabolism, leading to weight gain due to reduced calorie burning. C. Regular TSH and T4 tests monitor levothyroxine effectiveness, guiding dose adjustments. E. A high-fiber diet prevents constipation, a common complication from slowed gastrointestinal motility. A. Treatment is lifelong, not temporary, making this misleading. D. Increased perspiration is a hyperthyroidism symptom, not hypothyroidism.

Question 4 of 5

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following nursing actions are appropriate? (Select all that apply)

A. Verify the solution with another RN prior to infusion B. Monitor serum blood glucose during infusion C. Increase the rate of infusion if administration is delayed D. Infuse 0.9% sodium chloride if the solution is not available E. Obtain the client's weight daily

Correct Answer: A,B,E

Rationale: A. Verifying TPN with another RN ensures the solution matches the prescription, preventing errors. B. Monitoring glucose prevents hyperglycemia from TPN's dextrose content. E. Daily weights assess fluid balance and nutritional efficacy. C. Increasing the rate risks fluid overload and metabolic issues. D. Sodium chloride lacks nutrients, risking hypoglycemia.

Question 5 of 5

A nurse is performing medication reconciliation for a client newly admitted. Which of the following actions should the nurse take?

A. Perform the reconciliation only at admission and discharge B. Compare only the prescribed home medications to the new prescriptions C. Delete new prescriptions that may interact with home medications D. Consider the risk for medication interactions

Correct Answer: D

Rationale: Considering medication interaction risks ensures safety by identifying conflicts between home and hospital drugs, allowing provider adjustments. A. Reconciliation at all care transitions prevents errors. B. Comparing only home medications misses inpatient drugs. C. Deleting prescriptions exceeds nursing scope.

ATI RN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN