ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is admitting a client who has meningitis. Which of the following findings should the nurse expect?

A. BradycardiaB. Intermittent headacheC. Petechiae on the chestD. Photophobia

Correct Answer: D

Rationale: Photophobia (
D) is common in meningitis due to meningeal irritation. Bradycardia (
A) is rare, headaches (
B) are constant, and petechiae (
C) are specific to certain types like meningococcal.

Question 2 of 5

A nurse is assessing a client following the administration of an initial dose of captopril. Which of the following findings indicates an anaphylactic response?

A. FeverB. HypertensionC. ArrythmiaD. Laryngeal edema

Correct Answer: D

Rationale: Laryngeal edema (
D) is a life-threatening sign of anaphylaxis. Fever (
A), hypertension (
B), and arrhythmia (
C) are not typical of an allergic response to captopril.

Question 3 of 5

A nurse is caring for a client who has emphysema. Which of the following interventions should the nurse include in the client's plan of care?

A. Administer oxygen at 2 L/min.B. Teach the client a breathing exercise with a longer inhalation phase.C. Encourage use of incentive spirometry for 5 min every 2 hr.D. Limit fluid intake to1,000 mL per day.

Correct Answer: A

Rationale: Low-flow oxygen at 2 L/min (
A) helps maintain adequate oxygenation in emphysema without suppressing respiratory drive. Longer inhalation (
B) is not typical, incentive spirometry duration (
C) is insufficient, and fluid restriction (
D) is not indicated unless specified.

Question 4 of 5

A nurse is planning care for a client who requires insertion of a peripherally inserted central catheter (PICC) line. Which of the following actions should the nurse plan to take?

A. Use a 3 mL syringe when flushing the PICC line.B. Flush the PICC line with 0.9% sodium chloride after medication administration.C. Expect the PICC line to be inserted into a lower extremity vein.D. Monitor for a pneumothorax following insertion of the PICC line.

Correct Answer: B

Rationale: Flushing with 0.9% sodium chloride (
B) maintains PICC patency post-medication. A 10 mL syringe is used (A is incorrect), PICCs are inserted in upper extremities (C is incorrect), and pneumothorax is a risk with central lines, not typically PICCs (
D).

Question 5 of 5

A nurse is planning care for a client who is postoperative following insertion of an arteriovenous graft in their left forearm. Which of the following actions should the nurse include in the plan of care?

A. Collect blood specimens from the graft.B. Check the pulse distal to the graft.C. Splint the left forearm to prevent damage to the graft.D. Keep the left forearm below the level of the heart.

Correct Answer: B

Rationale: Checking the distal pulse (
B) ensures graft patency and circulation. Blood draws from the graft (
A) risk damage, splinting (
C) is unnecessary, and elevation, not lowering (
D), is standard.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN