ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 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 2 of 5

A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of the following findings should the nurse include as an indication the client is no longer infectious?

A. Client no longer coughing up blood-tinged sputumB. Mantoux skin test revealing an induration of less than 1 mmC. Negative sputum cultures for acid-fast bacillusD. Positive Quantiferon-TB Gold test (negative)

Correct Answer: C

Rationale: Negative sputum cultures (
C) confirm the absence of active TB bacteria, indicating non-infectiousness. Hemoptysis (
A) is a symptom, Mantoux (
B) assesses exposure, and Quantiferon (
D) is not used for infectiousness.

Question 3 of 5

A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching?

A. I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the trash,B. I will need to take my clothes to the dry cleaners to sterilize them.C. I will increase the amount of fresh fruits and vegetables I consume.D. I will be sure to wear gloves and wash my hands when I change my cat's litter box.

Correct Answer: D

Rationale: Wearing gloves for cat litter (
D) prevents toxoplasmosis, critical in AIDS. Alcohol cleaning (
A) is insufficient, dry cleaning (
B) is unnecessary, and diet changes (
C) are not specific to infection prevention.

Question 4 of 5

A nurse is caring for a client who is experiencing an acute asthma attack. Which of the following should the nurse identify as a contributing factor to the client's manifestations?

A. Decreased responsiveness of airways to allergensB. Suppressed bronchiolar inflammatory responseC. Acute loss of alveolar elasticityD. Inability to exhale retained carbon dioxide

Correct Answer: D

Rationale: Inability to exhale retained CO2 (
D) causes air trapping and hyperinflation in asthma due to bronchoconstriction. Airway responsiveness increases (A is incorrect), inflammation is heightened (B is incorrect), and alveolar elasticity loss (
C) is not acute in asthma.

Question 5 of 5

A nurse is triaging clients following a mass casualty accident. Which of the following clients should be the nurse's priority?

A. A client who has an open fractured femur and reports severe painB. A client who has vomited twice and has contusions to both arms and shouldersC. A client who has a metal bar protruding from the upper abdomen and is hyperventilatingD. A client who has several large lacerations to the upper extremities and can explain what occurred

Correct Answer: C

Rationale: A client with a penetrating abdominal injury and hyperventilation (
C) indicates potential internal bleeding and shock, requiring immediate intervention. Fractures (
A), vomiting (
B), and lacerations (
D) are less immediately life-threatening.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN