ATI RN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is assessing a client who had a total thyroidectomy 4 hr ago. Which of the following findings should the nurse report?

A. Neck stiffnessB. HoarsenessC. Moderate serosanguineous drainageD. Muscle twitching

Correct Answer: D

Rationale: Muscle twitching may indicate hypocalcemia due to parathyroid gland damage during thyroidectomy.

Question 2 of 5

A nurse is caring for a client after total hip replacement surgery. Which of the following actions should the nurse take?

A. Use an elevated toilet seat.B. Log roll the client onto the operative side.C. Keep client's affected heel on the bed.D. Perform internal and external rotation exercises of hip.

Correct Answer: A

Rationale: An elevated toilet seat prevents hip flexion beyond 90 degrees, reducing dislocation risk.

Question 3 of 5

A nurse is teaching about safe positioning with the caregiver of a client who has right-sided hemiplegia following a stroke. Which of the following statements by the caregiver indicates an understanding of the teaching?

A. I will ensure their neck is flexed backwards when they're lying on their stomach.B. I will support their feet with a rolled pillow when they are lying on their back.C. I will rest their heels on the mattress when they are sitting up in bed.D. I will use a thick pillow under their head to support the neck.

Correct Answer: B

Rationale: Supporting the feet prevents foot drop in a client with hemiplegia.

Question 4 of 5

A nurse is planning care for a client who has developed nephrotic syndrome. Which of the following dietary recommendations should the nurse include?

A. Increase potassium intake.B. Decrease protein intake.C. Increase phosphorus intake.D. Decrease carbohydrate intake.

Correct Answer: B

Rationale: Decreasing protein intake reduces proteinuria in nephrotic syndrome.

Question 5 of 5

A nurse is caring for a client who is 3 hr postoperative following a total knee arthroplasty. Which of the following actions should the nurse take to prevent venous thromboembolism?

A. Massage the client's legs every 4 hr while they are awake.B. Encourage the client to perform circumduction of the feet.C. Limit the client's fluid intake to 2,000 mL daily.D. Keep the client's knees in a flexed position while they are in bed.

Correct Answer: B

Rationale: Foot circumduction promotes venous return, preventing thromboembolism.

ATI RN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN