ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 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. Fever B. Hypertension C. Arrythmia D. 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 2 of 5

A nurse in a clinic is assessing a client who has type 1 diabetes mellitus. The client is diaphoretic, has a heart rate of 92/min, and reports palpitations. The client states, 'I went for my morning run and feel exhausted.' Which of the following responses should the nurse make?

A. It becomes easier when exercise is a routine. B. Did you decrease your insulin intake before you exercised? C. Were you careful to not have carbohydrates after the run? D. It is normal to feel this way after a morning run.

Correct Answer: B

Rationale: Symptoms suggest hypoglycemia, common in type 1 diabetes post-exercise. Asking about insulin adjustment (
B) identifies potential causes. Routine exercise (
A), avoiding carbs (
C), or normalizing symptoms (
D) ignores the issue.

Question 3 of 5

A nurse is caring for a client who is receiving morphine through a PCA device. Which of the following actions should the nurse take?

A. Monitor the client's respiratory status every 4 hr. B. Administer an oral opioid for breakthrough pain. C. Teach the client how to self-medicate using the PCA device. D. Encourage family members to press the PCA button for the client.

Correct Answer: C

Rationale: Teaching PCA use (
C) empowers the client to manage pain safely. Monitoring should be more frequent (
A), oral opioids (
B) require orders, and family use (
D) risks overdose.

Question 4 of 5

A nurse is providing teaching to a client who is to start furosemide therapy for heart failure. Which of the following statements indicates that the client understands a potential adverse effect of this medication?

A. I will check my pulse before I take the medication. B. I will try to limit foods that contain salt. C. I'm going to include more cantaloupe in my diet. D. I check my blood pressure so it doesn't get too high.

Correct Answer: C

Rationale: Cantaloupe (
C) is high in potassium, addressing hypokalemia, a furosemide side effect. Pulse checking (
A), low sodium (
B), and blood pressure monitoring (
D) are not directly tied to its adverse effects.

Question 5 of 5

A PACU nurse is monitoring the drainage from a client's NG tube following abdominal surgery. Which of the following findings in the first postoperative hour should the nurse report to the provider?

A. 100 mL of red drainage B. 150 mL of serosanguineous drainage C. 200 mL of brown drainage D. 75 mL of greenish-yellow drainage

Correct Answer: A

Rationale: Red drainage (
A) suggests active bleeding, requiring immediate reporting. Serosanguineous (
B), brown (
C), and greenish-yellow (
D) drainage are expected post-surgery.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN