ATI RN Adult Medical Surgical 2023 I

Extract:

Question 1 of 5

A nurse is assessing a client who sustained major full-thickness burns to their lower legs 12 hours ago. Which of the following findings should the nurse expect?

A. Epithelialization at the siteB. Severe pain at the siteC. Edema at the siteD. Blistering at the site

Correct Answer: C

Rationale: Edema is expected 12 hours post-burn due to capillary leakage in the inflammatory response.

Question 2 of 5

A hospice nurse is planning care for a client who has lung cancer. Which of the following statements should the nurse make to incorporate the client's and family's cultural beliefs?

A. You should limit discussing past events with the client.B. We will respect what is important to you.C. We will arrange all burial services.D. Grieving should not be done in front of the client.

Correct Answer: B

Rationale: Respecting cultural preferences ensures individualized, compassionate care.

Question 3 of 5

The nurse is caring for several clients on a hospital unit. Which of the following clients is most at risk for hypoglycemia?

A. A client with type 1 diabetes mellitus who has taken a high dose of insulinB. A client who has type 2 diabetes and has not taken any medicationC. An older adult client taking an antibiotic for an infectionD. A client who has metabolic syndrome and is taking a statin drug to lower cholesterol levels

Correct Answer: A

Rationale: Excess insulin in type 1 diabetes significantly increases hypoglycemia risk.

Question 4 of 5

A nurse is planning care for a client who has a radial fracture and a newly placed short arm cast on the left arm. Which of the following findings is the nurse's priority?

A. The client requires assistance with getting dressed.B. The client reports numbness of the fingers of the left hand.C. The client reports itching of the left arm.D. The client has a pillow under their left arm.

Correct Answer: B

Rationale: Numbness suggests possible neurovascular compromise (e.g., compartment syndrome), a priority requiring immediate assessment.

Question 5 of 5

A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line in her left forearm. The client is receiving an antibiotic via intermittent IV bolus every 12 hours. Which of the following actions should the nurse take in managing the client's PICC line?

A. Change the transparent membrane dressing daily.B. Access the catheter using a non-coring needle.C. Maintain a continuous IV infusion through the PICC line.D. Flush the catheter with a 0.9% sodium chloride solution after each use.

Correct Answer: D

Rationale: Flushing with saline after each use maintains PICC patency and prevents occlusion.

ATI RN Adult Medical Surgical 2023 I | Nurselytic

Nurselytic

ATI RN

ATI RN