ATI RN Adult Med-Surg 2023

Extract:

Question 1 of 5

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

A. Instruct the client to sit on a rubber ring when seated in a chair. B. Raise the head of the client's bed to a 90Â° angle. C. Use moisturizing lotion while massaging the client's bony prominences. D. Place pillows between the client's knees when in a side-lying position.

Correct Answer: D

Rationale: Pillows between the knees prevent adduction and pressure sores in hemiplegia.

Question 2 of 5

A nurse is caring for a client who weighs 190 lb and is receiving total parenteral nutrition. If the RDA of protein is 0.8 g/kg of body weight, how many grams of protein should the client receive daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Your Answer:

Correct Answer: 69

Rationale: Convert 190 lb to kg (86.18 kg), multiply by 0.8 g/kg = 68.94, round to 69 g.

Extract:

Nurses' Notes
Vital Signs
Diagnostic Results
1000:

Client reports tightness in chest that radiates to left arm. States pain as 7 on a scale of 0 to 10. Started to feel nauseous after breakfast. Client states, "I had scrambled eggs and bacon like I do every morning." Client is diaphoretic and short of breath. Heart rate irregular and tachycardic. Alert and oriented to person, place, and time. Lungs clear to auscultation in all lobes. Bowel sounds are present in all 4 quadrants. +1 pedal pulses. Skin is cool to touch. Capillary refill less than 2 seconds.

Question 3 of 5

A nurse is admitting a client who reports tightness in their chest that radiates to left arm. The nurse is reviewing the client's medical record. Select the four findings that require immediate follow-up.

A. Blood glucose level B. Bowel sounds C. Blood pressure D. Pain level E. Electrocardiogram findings F. Lung sounds G. Troponin T level

Correct Answer: C,D,E,G

Rationale: Chest pain with radiation suggests a cardiac event; BP, pain, ECG, and troponin are critical.

Extract:

Question 4 of 5

A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?

A. A client who has peritonitis reports generalized abdominal pain. B. A client who has pancreatitis reports pain in the left shoulder. C. A client who has angina reports substernal chest pain. D. A client who is postoperative reports incisional pain.

Correct Answer: B

Rationale: Referred pain from pancreatitis often radiates to the left shoulder.

Question 5 of 5

A nurse is caring for a client who is 3 hr postoperative following a total knee arthroplasty. Which of the following actions should the nurse take to prevent venous thromboembolism?

A. Keep the client's knees in a flexed position while they are in bed. B. Massage the client's legs every 4 hr while they are awake. C. Encourage the client to perform circumduction of the feet. D. Limit the client's fluid intake to 2,000 mL daily.

Correct Answer: C

Rationale: Foot circumduction promotes venous return, reducing thromboembolism risk.

ATI RN Adult Med-Surg 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN