ATI RN
ATI RN Adult Medical Surgical 2023 III Questions
Extract:
Question 1 of 5
A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?
Correct Answer: D
Rationale: Weight loss indicates effective diuresis, as furosemide reduces fluid overload in pulmonary edema, leading to decreased body weight.
Question 2 of 5
A nurse is caring for a client who has skeletal traction applied to the left leg. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A trapeze bar assists the client in repositioning without disrupting the traction, promoting comfort and mobility.
Question 3 of 5
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and has a referral for dietary consult. The client tells the nurse, 'I will have to eat whatever the dietitian tells me.' Which of the following statements by the nurse encourages the client's involvement in their plan of care?
Correct Answer: B
Rationale: Assisting the client to list preferred foods encourages active participation in their dietary plan, enhancing adherence.
Question 4 of 5
A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the following factors should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,D,E
Rationale: Perforation of the eardrum, chronic middle ear infections, and loop diuretics (e.g., furosemide) can damage hearing structures or nerves, increasing hearing loss risk.
Question 5 of 5
A nurse suspects that a client who has diabetes mellitus is experiencing hypoglycemia. Which of the following assessment findings supports this suspicion?
Correct Answer: C
Rationale: Cool, clammy skin is a classic sign of hypoglycemia due to the body's stress response and sweating.