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 is providing teaching to a client who is to start furosemide therapy for heart failure. Which of the following statements indicates that the client understands a potential adverse effect of this medication?

A. I will check my pulse before I take the medication. B. I will try to limit foods that contain salt. C. I'm going to include more cantaloupe in my diet. D. I check my blood pressure so it doesn't get too high.

Correct Answer: C

Rationale: Cantaloupe (
C) is high in potassium, addressing hypokalemia, a furosemide side effect. Pulse checking (
A), low sodium (
B), and blood pressure monitoring (
D) are not directly tied to its adverse effects.

Question 3 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 drainage B. 150 mL of serosanguineous drainage C. 200 mL of brown drainage D. 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.

Question 4 of 5

A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory results should the nurse monitor to determine long-term glycemic control?

A. Oral glucose tolerance test results B. Glycosylated hemoglobin level C. Fasting blood glucose level D. Postprandial blood glucose level

Correct Answer: B

Rationale: HbA1c (
B) reflects average glucose over 2-3 months, ideal for long-term control. OGTT (
A), fasting (
C), and postprandial (
D) glucose measure short-term status.

Question 5 of 5

A nurse is providing discharge teaching to a client who is postoperative following a total hip arthroplasty. Which of the following statements should the nurse make?

A. Twist at the waist when standing from a seated position. B. Move your stronger leg first when using a walker. C. Apply a heating pad to the operative hip to decrease pain. D. Use a raised toilet seat to maintain your hips above your knees.

Correct Answer: D

Rationale: A raised toilet seat (
D) prevents hip flexion beyond 90°, reducing dislocation risk. Twisting (
A) and heat (
C) increase risk, and stronger leg movement (
B) is not specific.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

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ATI RN

ATI RN