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/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.

Question 2 of 5

A nurse in the emergency department is evaluating a young adult client for bacterial meningitis. Which of the following actions should the nurse take as part of the focused assessment?

A. Gently elevate the client's head and note any nuchal rigidity.B. Run a tongue blade on the outside of the client's sole and note any flaring of the toesC. Strike the client's patellar tendon with a percussion hammer and note any increase in response.D. Tap the client's facial nerve and note any facial twitching

Correct Answer: A

Rationale: Nuchal rigidity (
A) is a hallmark of meningitis due to meningeal irritation. Babinski's test (
B), patellar reflex (
C), and Chvostek's sign (
D) assess unrelated conditions.

Question 3 of 5

A nurse is caring for a client who has been prescribed an antibiotic. The client tells the nurse, 'I don't like taking medications because I don't think I need them.' Which of the following responses should the nurse make?

A. If you don't take this medication, you will feel worse.B. Most clients feel better after taking the antibiotic.C. I will tell your provider that you do not want to take this medication.D. Your provider wouldn't prescribe this medication if it weren't necessary.

Correct Answer: D

Rationale: Explaining the necessity (
D) educates and encourages adherence. Threats (
A) are coercive, general statements (
B) lack specificity, and deferring (
C) avoids addressing concerns.

Question 4 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) is heart-healthy with low saturated fat. Whole milk (
B) is high in fat, canned vegetables (
C) have sodium, and 8 oz meat (
D) exceeds recommended portions.

Question 5 of 5

A nurse is caring for a postoperative client who has an indwelling urinary catheter. Which of the following actions should the nurse take when removing the catheter?

A. Rapidly deflate the balloon before removing the tubing.B. Place the client in the dorsal recumbent position,C. Reinsert the catheter if the client does not void within 1 hr.D. Obtain a sterile urine specimen after catheter removal.

Correct Answer: B

Rationale: The dorsal recumbent position (
B) facilitates safe catheter removal. Rapid deflation (
A) can cause trauma, reinsertion (
C) is not standard without assessment, and sterile specimens (
D) are collected before removal if needed.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN