ATI RN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is caring for a client who weighs 190 lb and is receiving total parenteral nutrition. If the RDA of protein is 0.8 g/kg of body weight, how many grams of protein should the client receive daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 69

Rationale: Convert 190 lb to kg (86.18 kg), multiply by 0.8 g/kg = 68.94, rounded to 69 g.

Question 2 of 5

A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?

A. A client who has pancreatitis reports pain in the left shoulder. B. A client who has peritonitis reports generalized abdominal pain. C. A client who is postoperative reports incisional pain. D. A client who has angina reports substernal chest pain.

Correct Answer: A

Rationale: Pancreatitis can cause referred pain to the left shoulder due to diaphragmatic irritation.

Question 3 of 5

A nurse is caring for a client who has a flail chest. Which of the following actions should the nurse take?

A. Provide humidified oxygen. B. Administer antibiotic medication. C. Implement fluid restriction D. Administer acetaminophen orally.

Correct Answer: A

Rationale: Humidified oxygen helps maintain oxygenation in a client with flail chest, a condition involving multiple rib fractures.

Question 4 of 5

A nurse is performing medication reconciliation for a client newly admitted. Which of the following actions should the nurse take?

A. Perform the reconciliation only at admission and discharge B. Compare only the prescribed home medications to the new prescriptions C. Delete new prescriptions that may interact with home medications D. Consider the risk for medication interactions

Correct Answer: D

Rationale: Considering medication interaction risks ensures safety by identifying conflicts between home and hospital drugs, allowing provider adjustments. A. Reconciliation at all care transitions prevents errors. B. Comparing only home medications misses inpatient drugs. C. Deleting prescriptions exceeds nursing scope.

Question 5 of 5

A nurse is caring for a client who has skeletal traction for a fracture of the lower extremity. Which of the following actions should the nurse take?

A. Remove weights when pulling the client up in bed B. Cleanse the pin sites with hydrogen peroxide C. Inspect the pin sites for infection every 24 hours D. Check the rope for fraying every 8 hours

Correct Answer: C

Rationale: Inspecting pin sites daily for infection (redness, swelling, pus) allows early intervention, preventing complications like osteomyelitis. A. Removing weights disrupts traction, risking misalignment. B. Hydrogen peroxide damages tissue; saline is preferred. D. Checking ropes is secondary to infection monitoring.

ATI RN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN