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 who has major full-thickness burns to their lower legs 12 hr ago. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: Edema (
D) is expected 12 hours post-burn due to vascular permeability. Full-thickness burns lack blisters (
A) and pain (
B) due to nerve damage, and epithelialization (
C) occurs later.

Question 2 of 5

A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory results should the nurse monitor to determine long-term glycemic control?

Correct Answer: B

Rationale: HbA1c (
B) reflects average glucose over 2-3 months, ideal for long-term control. OGTT (
A), fasting (
C), and postprandial (
D) glucose measure short-term status.

Question 3 of 5

A nurse is caring for a client who has been prescribed an antibiotic. The client tells the nurse, 'I don't like taking medications because I don't think I need them.' Which of the following responses should the nurse make?

Correct Answer: D

Rationale: Explaining the necessity (
D) educates and encourages adherence. Threats (
A) are coercive, general statements (
B) lack specificity, and deferring (
C) avoids addressing concerns.

Question 4 of 5

A nurse is caring for a client who is experiencing an increase in intracranial pressure (ICP). The nurse should expect which of the following as an early manifestation of increased ICP?

Correct Answer: A

Rationale: Restlessness (
A) is an early sign of increased ICP due to cerebral irritation. Papilledema (
B), vomiting (
C), and posturing (
D) are later manifestations.

Question 5 of 5

A nurse is caring for a client who is using a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Turning off the CPM during eating (
B) ensures safety and comfort. Storing on the floor (
A) risks contamination, settings are checked more frequently (
C), and rapid increases (
D) cause pain.

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