ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 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/min C. Blood pressure 90/50 mm Hg D. 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.

Question 2 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.)

Order the Items

Source Container

Confirm that the client's bladder is empty.

Indicate the risk for autonomic dysreflexia in the client's medical record.

Place the client in an upright sitting position.

Administer an antihypertensive medication intravenously.

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 3 of 5

A nurse is providing dietary instructions to a client who has cardiovascular disease. The nurse should identify that which of following statements by the client indicates an understanding of the teaching?

A. I will use canola oil when making salad dressing. B. I will drink whole milk with my cereal. C. I will increase my intake of canned vegetables. D. I will limit my portions of meat to 8 ounces.

Correct Answer: A

Rationale: Canola oil (
A) reduces cardiovascular risk with low saturated fat. Whole milk (
B), canned vegetables (
C), and large meat portions (
D) are not heart-healthy choices.

Question 4 of 5

A nurse is providing teaching for the family of a client who has Alzheimer's disease. Which of the following statements should the nurse include?

A. Provide plenty of stimulation in the client's room. B. Display a monthly calendar in the client's room. C. Keep the client's room dark at night to promote sleep. D. Provide the client with structured activities to fill their time.

Correct Answer: D

Rationale: Structured activities help maintain routine and engagement for clients with Alzheimer's, reducing confusion and agitation. Excessive stimulation (
A) can be overwhelming, calendars (
B) may not be effective due to memory deficits, and a dark room (
C) may increase disorientation.

Question 5 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.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN