ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A second pair of gloves protects the nurse if a radiation implant dislodges, minimizing exposure. Visit limits are stricter, dosimeters are personal, and linens are bagged until radiation safety clears them.
Question 2 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 hr. Which of the following actions should the nurse take in managing the client's PICC line?
Correct Answer: D
Rationale: Flushing with saline after use prevents occlusion and maintains PICC patency. Non-coring needles are for ports, continuous infusion isn't required, and dressings are changed weekly or as needed, not daily.
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: A
Rationale: Explaining the necessity of the antibiotic addresses the client's concern while reinforcing the provider's rationale, encouraging adherence. Other responses dismiss the concern or make assumptions.
Question 4 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?
Correct Answer: D
Rationale: Wearing gloves and handwashing when changing litter prevents toxoplasmosis, a risk in AIDS due to immunosuppression. Alcohol is insufficient for body fluids, dry cleaning isn't needed, and diet alone doesn't address infection risk.
Question 5 of 5
A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?
Correct Answer: C
Rationale: Fever, night sweats, and cough suggest possible tuberculosis, requiring airborne isolation in a private room. Ketoacidosis, fractures, and pneumonia don't typically require private rooms unless contagious.