ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is using a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Turning off the CPM machine during eating prevents discomfort and ensures safety, allowing the client to focus on nutrition. Settings need more frequent checks, range increases gradually, and storage on the floor risks contamination.
Question 2 of 5
A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line in her left forearm. The client is receiving an antibiotic via intermittent IV bolus every 12 hr. Which of the following actions should the nurse take in managing the client's PICC line?
Correct Answer: D
Rationale: Flushing with saline after use prevents occlusion and maintains PICC patency. Non-coring needles are for ports, continuous infusion isn't required, and dressings are changed weekly or as needed, not daily.
Question 3 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?
Correct Answer: A
Rationale: A raised toilet seat keeps hips above knees, preventing dislocation post-hip arthroplasty. Heat risks inflammation, moving the stronger leg first is for canes, and twisting increases dislocation risk.
Question 4 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?
Correct Answer: B
Rationale: Furosemide, a diuretic, can cause hypokalemia. Including potassium-rich foods like cantaloupe indicates understanding of this risk. Limiting salt helps heart failure but isn't an adverse effect, pulse checking is unrelated, and furosemide lowers, not raises, blood pressure.
Question 5 of 5
A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Correct Answer: C
Rationale: Cloudy effluent is the earliest sign of peritonitis in peritoneal dialysis, indicating infection before systemic symptoms like pain, fever, or tachycardia develop, allowing prompt intervention.