ATI RN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is caring for a client who is receiving peritoneal dialysis and notes a decrease in the dialysate flow rate. Which of the following actions should the nurse take? (Select all that apply)

Correct Answer: C,D,E

Rationale: C. Measuring outflow quantifies flow reduction, guiding interventions. D. Monitoring the access site detects leaks or infection affecting flow. E. Repositioning relieves catheter kinks or blockages. A. Raising the bag stops drainage. B. High-Fowler's is less effective for flow issues.

Question 2 of 5

A nurse is planning to meet with the interprofessional team about the care of a client who has a new diagnosis of ulcerative colitis. Which of the following recommendations should the nurse plan to make during the meeting?

A. The client should be referred to pain management. B. The client should be referred to hospice services. C. The client should be referred to a wound, ostomy, and continence nurse. D. The client should be referred to a dietitian.

Correct Answer: D

Rationale: Ulcerative colitis is a chronic inflammatory bowel disease that requires dietary management to control symptoms and promote healing, making a referral to a dietitian appropriate.

Question 3 of 5

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following nursing actions are appropriate? (Select all that apply)

A. Verify the solution with another RN prior to infusion B. Monitor serum blood glucose during infusion C. Increase the rate of infusion if administration is delayed D. Infuse 0.9% sodium chloride if the solution is not available E. Obtain the client's weight daily

Correct Answer: A,B,E

Rationale: A. Verifying TPN with another RN ensures the solution matches the prescription, preventing errors. B. Monitoring glucose prevents hyperglycemia from TPN's dextrose content. E. Daily weights assess fluid balance and nutritional efficacy. C. Increasing the rate risks fluid overload and metabolic issues. D. Sodium chloride lacks nutrients, risking hypoglycemia.

Question 4 of 5

A nurse working in the emergency department is caring for a client who has a burn injury. After securing the client's airway, which of the following interventions should the nurse take first?

A. Increase the room temperature. B. Cleanse the client's wounds. C. Administer analgesic medication. D. Start an IV with a large-bore needle.

Correct Answer: D

Rationale: Starting an IV for fluid resuscitation is the first priority after airway management in burn injuries.

Question 5 of 5

A nurse is caring for a client who has acute heart failure and received morphine IV 30 min ago. Which of the following findings should the nurse identify as an indication that the medication was effective?

A. Emesis of 250 mL B. Increased respiratory rate to 26/min C. Decreased anxiety D. Decreased urinary output

Correct Answer: C

Rationale: Morphine reduces anxiety and preload in acute heart failure, improving comfort and breathing.

ATI RN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN