ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 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?

A. Determine the client's blood type. B. Implement airborne precautions. C. Avoid administering IV pain medication. D. Institute bleeding precautions

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 2 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?

A. Increased respiratory rate to 26/min B. Decreased urinary output C. Emesis of 250 mL D. Decreased anxiety

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 3 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?

A. 2 tbsp peanut butter B. 1 cup white rice C. 1/2 cup nonfat yogurt D. 1 medium baked potato with skin

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 4 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?

A. Client no longer coughing up blood-tinged sputum B. Mantoux skin test revealing an induration of less than 1 mm C. Negative sputum cultures for acid-fast bacillus D. Positive Quantiferon-TB Gold test (negative)

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.

Question 5 of 5

A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse plan to include?

A. Assist the client with toileting at least once every 4 hr. B. Turn off all lights in the client's room at night. C. Place the client's bed at the lowest height. D. Request a prescription for a nightly sedative.

Correct Answer: C

Rationale: A low bed height (
C) reduces fall risk in dementia clients.
Toileting every 2 hours (
A) is more appropriate, complete darkness (
B) may disorient, and sedatives (
D) are not first-line.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN