ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 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 2 of 5

A nurse is reviewing the arterial blood gas report of a client who is in metabolic acidosis. Which of the following findings should the nurse expect?

A. pH 7.28 (7.35 to 7.45)B. PaCO2 31 mm Hg (35 to 45 mm Hg)C. HCO3 18 mEq/L (21 to 28 mEq/L)D. PaO2 85 mm Hg (72 to 100 mm Hg)

Correct Answer: A

Rationale: A pH of 7.28 (
A) indicates acidosis, consistent with metabolic acidosis (low HCO3). PaCO2 (
B) reflects respiratory compensation, HCO3 (
C) confirms the metabolic cause, and PaO2 (
D) is unrelated to acid-base status.

Question 3 of 5

A nurse is teaching about food choices to a client who has chronic kidney disease and must limit potassium intake. Which of the following choices should the nurse recommend as containing the least potassium?

A. 2 tbsp peanut butterB. 1 cup white riceC. 1/2 cup nonfat yogurtD. 1 medium baked potato with skin

Correct Answer: B

Rationale: White rice (
B) has low potassium compared to peanut butter (
A), yogurt (
C), and potatoes (
D), which are high-potassium foods restricted in kidney disease.

Question 4 of 5

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

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

Correct Answer: D

Rationale: Edema (
D) is expected 12 hours post-burn due to vascular permeability. Full-thickness burns lack blisters (
A) and pain (
B) due to nerve damage, and epithelialization (
C) occurs later.

Question 5 of 5

A PACU nurse is monitoring the drainage from a client's NG tube following abdominal surgery. Which of the following findings in the first postoperative hour should the nurse report to the provider?

A. 100 mL of red drainageB. 150 mL of serosanguineous drainageC. 200 mL of brown drainageD. 75 mL of greenish-yellow drainage

Correct Answer: A

Rationale: Red drainage (
A) suggests active bleeding, requiring immediate reporting. Serosanguineous (
B), brown (
C), and greenish-yellow (
D) drainage are expected post-surgery.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

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ATI RN

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