ATI RN
ATI RN Adult Medical Surgical 2023 IV Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a full-thickness burn injury covering 15% of their body. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Monitoring calorie intake (
B) ensures adequate nutrition for healing in burn patients. Low-carb diets (
A) are inappropriate, strict bed rest (
C) is unnecessary unless specified, and weekly weighing (
D) is insufficient for monitoring fluid status.
Question 2 of 5
A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates effectiveness of the teaching?
Correct Answer: A
Rationale: Antiviral treatment for herpes (
A) typically lasts 7-10 days, but 3 weeks may reflect understanding of initial or suppressive therapy duration. Antibiotics (
B) are ineffective, lesions resolve in 2-4 weeks (
C), and natural condoms (
D) are less effective.
Question 3 of 5
A nurse is caring for a client who has a full-thickness burn injury covering 15% of their body. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Monitoring calorie intake (
B) ensures adequate nutrition for healing in burn patients. Low-carb diets (
A) are inappropriate, strict bed rest (
C) is unnecessary unless specified, and weekly weighing (
D) is insufficient for monitoring fluid status.
Question 4 of 5
A nurse is providing teaching to a client who is to start furosemide therapy for heart failure. Which of the following statements indicates that the client understands a potential adverse effect of this medication?
Correct Answer: C
Rationale: Cantaloupe (
C) is high in potassium, addressing hypokalemia, a furosemide side effect. Pulse checking (
A), low sodium (
B), and blood pressure monitoring (
D) are not directly tied to its adverse effects.
Question 5 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.