ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is caring for a client who is receiving morphine through a PCA device. Which of the following actions should the nurse take?

A. Monitor the client's respiratory status every 4 hr.B. Administer an oral opioid for breakthrough pain.C. Teach the client how to self-medicate using the PCA device.D. Encourage family members to press the PCA button for the client.

Correct Answer: C

Rationale: Teaching PCA use (
C) empowers the client to manage pain safely. Monitoring should be more frequent (
A), oral opioids (
B) require orders, and family use (
D) risks overdose.

Question 2 of 5

A nurse manager is providing an in-service to a group of newly licensed nurses about the use of personal protective equipment. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?

A. I should wear goggles when irrigating a wound.B. I should wear a gown to remove linens from a client's bed.C. Sterile gloves are required when administering an IM injection.D. I should use both hands to recap a needle.

Correct Answer: A

Rationale: Goggles (
A) protect against splashes during wound irrigation. Gowns (
B) are not needed for linens unless soiled, sterile gloves (
C) are for procedures, and recapping needles (
D) is unsafe.

Question 3 of 5

A nurse in the PACU is caring for a client. Which of the following assessments is the nurse's priority?

A. Level of consciousnessB. Pain levelC. Respiratory statusD. Surgical site

Correct Answer: C

Rationale: Respiratory status (
C) is critical in PACU to ensure airway patency and oxygenation post-anesthesia. Consciousness (
A), pain (
B), and surgical site (
D) are assessed but are secondary to breathing.

Question 4 of 5

A nurse on a medical-surgical unit is preparing to administer amoxicillin PO when the client refuses the medication. Which of the following actions should the nurse take?

A. Record the client's refusal in the electronic health record.B. Leave the medication at the client's bedside for them to take later.C. Schedule the client's medication for a later time.D. Prepare the client's medication intravenously instead of PO.

Correct Answer: A

Rationale: Documenting refusal (
A) ensures legal and clinical accountability. Leaving medication (
B) is unsafe, rescheduling (
C) requires provider input, and IV administration (
D) needs a new order.

Question 5 of 5

A nurse is assessing a client for a positive Chvostek's sign following a thyroidectomy. Which of the following areas on the client's head should the nurse tap to assess the client for tetany? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Correct Answer: B

Rationale: The Chvostek's sign is elicited by tapping the facial nerve below the zygomatic arch, anterior to the earlobe. No specific choice is provided in the document, but the correct area is critical to assess for hypocalcemia post-thyroidectomy, which can cause tetany.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

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ATI RN

ATI RN