ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is assessing a client for a positive Chvostek's sign following a thyroidectomy. Which of the following areas on the client's head should the nurse tap to assess the client for tetany? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Correct Answer: B

Rationale: The Chvostek's sign is elicited by tapping the facial nerve below the zygomatic arch, anterior to the earlobe. No specific choice is provided in the document, but the correct area is critical to assess for hypocalcemia post-thyroidectomy, which can cause tetany.

Question 2 of 5

A nurse on a medical-surgical unit is preparing to administer amoxicillin PO when the client refuses the medication. Which of the following actions should the nurse take?

A. Record the client's refusal in the electronic health record.B. Leave the medication at the client's bedside for them to take later.C. Schedule the client's medication for a later time.D. Prepare the client's medication intravenously instead of PO.

Correct Answer: A

Rationale: Documenting refusal (
A) ensures legal and clinical accountability. Leaving medication (
B) is unsafe, rescheduling (
C) requires provider input, and IV administration (
D) needs a new order.

Question 3 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 drainageB. 150 mL of serosanguineous drainageC. 200 mL of brown drainageD. 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.

Question 4 of 5

A nurse is caring for a client immediately following a cardiac catheterization through the right femoral artery. Which of the following actions should the nurse take?

A. Instruct the client not to bend the affected legB. Restrict the client's fluid intake.C. Elevate the head of the client's bed to a 45° angle.D. Monitor the client's vital signs once every hour.

Correct Answer: A

Rationale: Keeping the leg straight (
A) prevents bleeding or hematoma at the femoral puncture site. Fluid restriction (
B) is unnecessary, elevating the bed to 45° (
C) may increase bleeding risk, and vital signs (
D) are typically monitored more frequently post-procedure.

Question 5 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.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

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ATI RN

ATI RN