ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is caring for a client who has acute angina. Which of the following actions should the nurse take first?

A. Administer nitroglycerin.B. Measure blood pressure.C. Initiate IV accessD. Administer aspirin.

Correct Answer: A

Rationale: Nitroglycerin (
A) relieves angina pain by dilating coronary arteries, the priority. Blood pressure (
B), IV access (
C), and aspirin (
D) follow to stabilize and prevent progression.

Question 2 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.

Question 3 of 5

A nurse is caring for a client in the ICU. The client's ECG monitor tracing reveals sinus bradycardia and ST segment elevation. The client reports shortness of breath and feeling dizzy and faint. Which of the following medications should the nurse administer?

A. AtropineB. LidocaineC. DigoxinD. Sotalol

Correct Answer: A

Rationale: Atropine (
A) treats symptomatic bradycardia, addressing dizziness and shortness of breath. Lidocaine (
B), digoxin (
C), and sotalol (
D) are inappropriate for acute bradycardia with ischemia.

Question 4 of 5

A nurse is planning care for a client who requires insertion of a peripherally inserted central catheter (PICC) line. Which of the following actions should the nurse plan to take?

A. Use a 3 mL syringe when flushing the PICC line.B. Flush the PICC line with 0.9% sodium chloride after medication administration.C. Expect the PICC line to be inserted into a lower extremity vein.D. Monitor for a pneumothorax following insertion of the PICC line.

Correct Answer: B

Rationale: Flushing with 0.9% sodium chloride (
B) maintains PICC patency post-medication. A 10 mL syringe is used (A is incorrect), PICCs are inserted in upper extremities (C is incorrect), and pneumothorax is a risk with central lines, not typically PICCs (
D).

Question 5 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.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN