ATI RN Adult Medical Surgical 2023

Extract:

Question 1 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. Increase the rate of infusion if administration is delayed. B. Monitor serum blood glucose during infusion. C. Verify the solution with another RN prior to infusion. D. Infuse 0.9% sodium chloride if the solution is not available. E. Obtain the client's weight daily.

Correct Answer: B,C,E

Rationale: Monitoring glucose, verifying the solution, and weighing daily are appropriate TPN actions to ensure safety and efficacy.

Question 2 of 5

A nurse is teaching a client who has a new prescription for warfarin about foods that affect the INR. The nurse should include in the teaching that which of the following foods interacts with this medication?

A. Orange juice B. Beef stew C. Kale D. Yogurt

Correct Answer: C

Rationale: Kale, high in vitamin K, can decrease warfarin's anticoagulant effect.

Extract:

History and Physical
History
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm.

Question 3 of 5

A nurse is reviewing the client's diagnostic results and vital signs. Which of the following actions should the nurse take? Select all that apply.

A. Anticipate client to be prepped for cardiac catheterization. B. Assist with a continuous heparin infusion. C. Encourage the client to ambulate. D. Anticipate an increased dosage of metoprolol. E. Obtain a prescription for client to be NPO. F. Request a prescription for an antibiotic.

Correct Answer: A,B,D,E

Rationale: Chest tightness radiating to the arm suggests an acute coronary event, requiring catheterization, heparin, metoprolol, and NPO status.

Extract:

Question 4 of 5

A nurse is caring for a client who requires protective isolation following a hematopoietic stem cell transplant. Which of the following interventions should the nurse implement to protect the client from infection?

A. Monitor the client's temperature once every 6 hr. B. Make sure the client's room has positive-pressure airflow. C. Wear an N95 respirator when providing direct client care. D. Make sure dietary plates and utensils are disposable.

Correct Answer: C

Rationale: An N95 respirator protects the immunocompromised client from airborne pathogens.

Extract:

History and Physical
1000:
Client reports after eating breakfast this morning at 0630 that they began feeling tightness in chest that radiates to left arm. History:
Hyperlipidemia, hypertension, type 2 diabetes mellitus. Non-smoker. Denies use of alcohol or recreational drug use.

Question 5 of 5

The nurse is reviewing the client's medical record. Which of the following findings indicates the client's condition has improved? Select all that apply.

A. Blood pressure B. Echocardiogram results C. Respiratory rate D. Pain level E. Oxygenation saturation F. Urinary output G. Heart rate

Correct Answer: A,C,D,E,G

Rationale: Improved blood pressure, respiratory rate, pain, oxygen saturation, and heart rate indicate stabilization of a cardiac condition.

ATI RN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN