ATI RN
ATI RN Adult Medical Surgical 2023 Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following a below-the-knee amputation. Which of the following statements made by the client indicates acceptance of their altered body image?
Correct Answer: A
Rationale: The correct answer is A because the statement indicates the client's willingness to connect with someone who has undergone a similar experience, showing acceptance and readiness to learn from others in similar situations. This demonstrates the client's acknowledgment of their altered body image and a proactive approach towards coping with it positively.
Choice B reflects avoidance behavior, not acceptance.
Choice C focuses on the relief of pain rather than acceptance of body image changes.
Choice D suggests resignation rather than acceptance.
Question 2 of 5
A nurse is caring for a client who has a herniated disc and is scheduled for a peripheral nerve block. The client tells the nurse, 'I am afraid to have this procedure.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale:
Rationale: The correct response is D because it demonstrates active listening and empathy by encouraging the client to express their fears. By asking the client to elaborate on their fears, the nurse can address specific concerns and provide appropriate support. This promotes trust and open communication between the nurse and client, leading to better outcomes.
Incorrect Responses:
A: This response assumes the fear is related to needles and does not address the client's specific concerns about the procedure.
B: This response is incomplete and does not acknowledge the client's fear.
C: This response minimizes the client's feelings and does not address the underlying fear.
Overall, these responses fail to address the client's emotional needs and may not effectively alleviate their fear or anxiety.
Question 3 of 5
A nurse is providing teaching for a client who is taking isoniazid (INH) for tuberculosis. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will have my liver function tested while I am taking this medication." This is the correct answer because isoniazid (INH) is known to potentially cause liver toxicity. Monitoring liver function tests is crucial to detect any signs of liver damage early.
Choice A is incorrect as INH treatment for tuberculosis typically lasts 6-9 months, not just 1 week.
Choice B is incorrect because antacids can decrease the absorption of INH.
Choice C is incorrect as INH does not typically cause an increase in blood pressure.
Question 4 of 5
A nurse is assessing a client who has a urinary catheter. The nurse notes the client's IV tubing is kinked and the urinary catheter bag is lying next to the client in bed. The nurse should identify that the client is at risk for which of the following conditions?
Correct Answer: B
Rationale: The correct answer is B: Infection. When IV tubing is kinked, it can lead to a backflow of urine from the catheter into the tubing, increasing the risk of contamination and subsequent urinary tract infection. Additionally, when the urinary catheter bag is lying next to the client in bed, there is a higher chance of accidental contamination. Infections can lead to serious complications and require prompt intervention. Neurogenic bladder (
A) is related to nerve damage affecting bladder control, not directly related to the current situation. Skin breakdown (
C) may occur due to prolonged contact with urine but is not the immediate concern here. Phlebitis (
D) is inflammation of a vein, not directly linked to the urinary catheter issue.
Question 5 of 5
A nurse is planning care for an older adult client who has a history of dementia and is admitted following surgical repair of a hip fracture. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Play serene soothing music. Music therapy has been shown to be effective in reducing anxiety and agitation in individuals with dementia. Serene music can help create a calming environment, promoting relaxation and potentially improving the client's overall well-being. Encouraging visits from friends (
Choice
A) may overwhelm the client with dementia. Applying restraints to the upper extremities (
Choice
B) is not recommended as it can lead to physical and psychological harm. Keeping the over-the-bed light on (
Choice
D) may disrupt the client's sleep and exacerbate confusion.