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. LeukocytosisB. CoughC. HypokalemiaD. 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 in the emergency department is evaluating a young adult client for bacterial meningitis. Which of the following actions should the nurse take as part of the focused assessment?

A. Gently elevate the client's head and note any nuchal rigidity.B. Run a tongue blade on the outside of the client's sole and note any flaring of the toesC. Strike the client's patellar tendon with a percussion hammer and note any increase in response.D. Tap the client's facial nerve and note any facial twitching

Correct Answer: A

Rationale: Nuchal rigidity (
A) is a hallmark of meningitis due to meningeal irritation. Babinski's test (
B), patellar reflex (
C), and Chvostek's sign (
D) assess unrelated conditions.

Question 4 of 5

A nurse on a medical-surgical unit is preparing to administer amoxicillin PO when the client refuses the medication. Which of the following actions should the nurse take?

A. Record the client's refusal in the electronic health record.B. Leave the medication at the client's bedside for them to take later.C. Schedule the client's medication for a later time.D. Prepare the client's medication intravenously instead of PO.

Correct Answer: A

Rationale: Documenting refusal (
A) ensures legal and clinical accountability. Leaving medication (
B) is unsafe, rescheduling (
C) requires provider input, and IV administration (
D) needs a new order.

Question 5 of 5

A nurse is teaching a client who has left-sided weakness how to use a quad cane. Which of the following client actions indicates an understanding of the teaching?

A. The client advances the weaker leg forward to the cane.B. The client holds the cane with their left hand.C. The client takes a step with their right foot first.D. The client moves the cane 2 feet ahead.

Correct Answer: A

Rationale: Advancing the weaker leg to the cane (
A) provides stability by aligning support with the weaker side. The cane should be held in the stronger hand (B is incorrect), stepping with the stronger leg first (
C) is not the taught sequence, and moving the cane too far (
D) risks imbalance.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN