ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is caring for a postoperative client who has an indwelling urinary catheter. Which of the following actions should the nurse take when removing the catheter?

A. Rapidly deflate the balloon before removing the tubing. B. Place the client in the dorsal recumbent position, C. Reinsert the catheter if the client does not void within 1 hr. D. Obtain a sterile urine specimen after catheter removal.

Correct Answer: B

Rationale: The dorsal recumbent position (
B) facilitates safe catheter removal. Rapid deflation (
A) can cause trauma, reinsertion (
C) is not standard without assessment, and sterile specimens (
D) are collected before removal if needed.

Question 2 of 5

A nurse in a provider's office is evaluating a client who has been taking lisinopril for hypertension. The nurse should identify which of the following findings as an adverse effect of this medication?

A. Leukocytosis B. Cough C. Hypokalemia D. Bradycardia

Correct Answer: B

Rationale: A dry cough (
B) is a common side effect of ACE inhibitors like lisinopril due to bradykinin accumulation. Leukocytosis (
A), hypokalemia (
C), and bradycardia (
D) are not typical adverse effects.

Question 3 of 5

A nurse is teaching a client who has HIV about infection prevention. The nurse should instruct the client to avoid contact with which of the following items?

A. Soiled cat litter B. Scrambled eggs C. Pasteurized milk D. Electric razor

Correct Answer: A

Rationale: Soiled cat litter (
A) poses a risk of toxoplasmosis, dangerous for HIV clients. Scrambled eggs (
B), pasteurized milk (
C), and electric razors (
D) are safe when properly handled.

Question 4 of 5

A nurse is triaging clients following a mass casualty accident. Which of the following clients should be the nurse's priority?

A. A client who has an open fractured femur and reports severe pain B. A client who has vomited twice and has contusions to both arms and shoulders C. A client who has a metal bar protruding from the upper abdomen and is hyperventilating D. A client who has several large lacerations to the upper extremities and can explain what occurred

Correct Answer: C

Rationale: A client with a penetrating abdominal injury and hyperventilation (
C) indicates potential internal bleeding and shock, requiring immediate intervention. Fractures (
A), vomiting (
B), and lacerations (
D) are less immediately life-threatening.

Question 5 of 5

A nurse is caring for a client who has a full-thickness burn injury covering 15% of their body. Which of the following actions should the nurse take?

A. Place the client on a low-carbohydrate diet. B. Monitor the client's calorie intake daily. C. Place the client on strict bed rest. D. Weigh the client once per week.

Correct Answer: B

Rationale: Monitoring calorie intake (
B) ensures adequate nutrition for healing in burn patients. Low-carb diets (
A) are inappropriate, strict bed rest (
C) is unnecessary unless specified, and weekly weighing (
D) is insufficient for monitoring fluid status.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN