ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching?

A. I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the trash,B. I will need to take my clothes to the dry cleaners to sterilize them.C. I will increase the amount of fresh fruits and vegetables I consume.D. I will be sure to wear gloves and wash my hands when I change my cat's litter box.

Correct Answer: D

Rationale: Wearing gloves for cat litter (
D) prevents toxoplasmosis, critical in AIDS. Alcohol cleaning (
A) is insufficient, dry cleaning (
B) is unnecessary, and diet changes (
C) are not specific to infection prevention.

Question 2 of 5

A nurse is reviewing the arterial blood gas report of a client who is in metabolic acidosis. Which of the following findings should the nurse expect?

A. pH 7.28 (7.35 to 7.45)B. PaCO2 31 mm Hg (35 to 45 mm Hg)C. HCO3 18 mEq/L (21 to 28 mEq/L)D. PaO2 85 mm Hg (72 to 100 mm Hg)

Correct Answer: A

Rationale: A pH of 7.28 (
A) indicates acidosis, consistent with metabolic acidosis (low HCO3). PaCO2 (
B) reflects respiratory compensation, HCO3 (
C) confirms the metabolic cause, and PaO2 (
D) is unrelated to acid-base status.

Question 3 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 4 of 5

A nurse manager is providing an in-service to a group of newly licensed nurses about the use of personal protective equipment. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?

A. I should wear goggles when irrigating a wound.B. I should wear a gown to remove linens from a client's bed.C. Sterile gloves are required when administering an IM injection.D. I should use both hands to recap a needle.

Correct Answer: A

Rationale: Goggles (
A) protect against splashes during wound irrigation. Gowns (
B) are not needed for linens unless soiled, sterile gloves (
C) are for procedures, and recapping needles (
D) is unsafe.

Question 5 of 5

A nurse is caring for a client who is postoperative following a complete thyroidectomy. Which of the following findings is the priority for the nurse to report to the provider?

A. Client report of nauseaB. Client report of incisional painC. Serosanguineous drainageD. Muscle twitching

Correct Answer: D

Rationale: Muscle twitching (
D) suggests hypocalcemia from parathyroid injury, a life-threatening complication. Nausea (
A), pain (
B), and drainage (
C) are expected or less urgent.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN