ATI RN
ATI RN Adult Medical Surgical 2023 IV Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients who are 12 hr postoperative. The nurse should identify that the client who had which of the following procedures is at risk for developing fat embolism syndrome?
Correct Answer: D
Rationale: Internal fixation of a hip fracture (
D) risks fat embolism due to bone marrow disruption. Thyroidectomy (
A), rotator cuff repair (
B), and tympanoplasty (
C) have lower risks.
Question 2 of 5
A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Petechiae indicate thrombocytopenia in leukemia, requiring bleeding precautions (
D). Blood typing (
A) is irrelevant, airborne precautions (
B) are for infections, and IV pain meds (
C) are not contraindicated.
Question 3 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?
Correct Answer: D
Rationale: Morphine reduces preload and anxiety (
D) in heart failure, improving comfort. Increased respiratory rate (
A) suggests distress, decreased urine output (
B) is unrelated, and emesis (
C) is not a therapeutic goal.
Question 4 of 5
A nurse is teaching about food choices to a client who has chronic kidney disease and must limit potassium intake. Which of the following choices should the nurse recommend as containing the least potassium?
Correct Answer: B
Rationale: White rice (
B) has low potassium compared to peanut butter (
A), yogurt (
C), and potatoes (
D), which are high-potassium foods restricted in kidney disease.
Question 5 of 5
A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of the following findings should the nurse include as an indication the client is no longer infectious?
Correct Answer: C
Rationale: Negative sputum cultures (
C) confirm the absence of active TB bacteria, indicating non-infectiousness. Hemoptysis (
A) is a symptom, Mantoux (
B) assesses exposure, and Quantiferon (
D) is not used for infectiousness.