ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Questions 67

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ATI RN Adult Medical Surgical 2023 IV Questions

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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?

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 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?

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.

Question 3 of 5

A nurse is assessing a client who has myasthenia gravis. Which of the following client statements should indicate to the nurse that the client needs a referral for occupational therapy?

Correct Answer: B

Rationale: Difficulty brushing hair (
B) indicates upper extremity weakness, appropriate for occupational therapy. Swallowing issues (
A) require speech therapy, bladder control (
C) needs urology, and mobility preference (
D) is not an OT focus.

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?

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 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?

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.

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