ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is assessing a client who is 4 hr. postoperative following arterial revascularization of the left femoral artery. Which of the following findings should the nurse report to the provider immediately?

A. Pallor in the affected extremityB. Urine output 150 mL over 4 hrC. Temperature of 37.9°C (100.2°F)D. Bruising around the incisional site

Correct Answer: A

Rationale: Pallor (
A) suggests compromised blood flow, a critical complication post-revascularization. Urine output (
B) is adequate, mild fever (
C) is expected, and bruising (
D) is common.

Question 2 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?

A. I will use canola oil when making salad dressing.B. I will drink whole milk with my cereal.C. I will increase my intake of canned vegetables.D. I will limit my portions of meat to 8 ounces.

Correct Answer: A

Rationale: Canola oil (
A) reduces cardiovascular risk with low saturated fat. Whole milk (
B), canned vegetables (
C), and large meat portions (
D) are not heart-healthy choices.

Question 3 of 5

A nurse is assessing a client who has skeletal traction for a femoral fracture. The nurse notes that the weights are resting on the floor. Which of the following actions should the nurse take?

A. Remove one of the weights.B. Tie knots in the ropes near the pulleys to shorten them.C. Pull the client up in bed.D. Increase the elevation of the affected extremity.

Correct Answer: C

Rationale: Pulling the client up (
C) restores traction by lifting weights off the floor. Removing weights (
A), tying knots (
B), or elevating further (
D) disrupts traction alignment.

Question 4 of 5

A nurse on a medical-surgical unit is planning care for a client who has dementia and a history of wandering. Which of the following actions should the nurse plan to implement?

A. Use chemical restraints at bedtime.B. Use a bed alarm.C. Move client to a double room.D. Encourage participation in activities that provide excessive stimulation.

Correct Answer: B

Rationale: A bed alarm (
B) alerts staff to wandering, enhancing safety. Chemical restraints (
A) are a last resort, double rooms (
C) may increase confusion, and overstimulation (
D) can exacerbate agitation.

Question 5 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?

A. If you don't take this medication, you will feel worse.B. Most clients feel better after taking the antibiotic.C. I will tell your provider that you do not want to take this medication.D. Your provider wouldn't prescribe this medication if it weren't necessary.

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.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN