ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is planning care for a client who requires insertion of a peripherally inserted central catheter (PICC) line. Which of the following actions should the nurse plan to take?

A. Use a 3 mL syringe when flushing the PICC line.B. Flush the PICC line with 0.9% sodium chloride after medication administration.C. Expect the PICC line to be inserted into a lower extremity vein.D. Monitor for a pneumothorax following insertion of the PICC line.

Correct Answer: B

Rationale: Flushing with 0.9% sodium chloride (
B) maintains PICC patency post-medication. A 10 mL syringe is used (A is incorrect), PICCs are inserted in upper extremities (C is incorrect), and pneumothorax is a risk with central lines, not typically PICCs (
D).

Question 2 of 5

A PACU nurse is monitoring the drainage from a client's NG tube following abdominal surgery. Which of the following findings in the first postoperative hour should the nurse report to the provider?

A. 100 mL of red drainageB. 150 mL of serosanguineous drainageC. 200 mL of brown drainageD. 75 mL of greenish-yellow drainage

Correct Answer: A

Rationale: Red drainage (
A) suggests active bleeding, requiring immediate reporting. Serosanguineous (
B), brown (
C), and greenish-yellow (
D) drainage are expected post-surgery.

Question 3 of 5

A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications?

A. FurosemideB. NitroprussideC. DesmopressinD. Epinephrine

Correct Answer: C

Rationale: High urine output and thirst suggest diabetes insipidus from brainstem injury, treated with desmopressin (
C). Furosemide (
A), nitroprusside (
B), and epinephrine (
D) do not address this condition.

Question 4 of 5

A nurse is preparing to obtain a guaiac smear sample from a client for fecal occult blood testing. Which of the following actions should the nurse plan to take?

A. Discard samples that contain urine.B. Collect three samples from a single bowel movement.C. Wear sterile gloves when collecting the sample.D. Take the sample from the outer edge of formed stool.

Correct Answer: A

Rationale: Discarding urine-contaminated samples (
A) ensures test accuracy. Multiple movements are sampled (
B), clean gloves are used (
C), and samples are taken from different areas (
D).

Question 5 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 painB. A client who has vomited twice and has contusions to both arms and shouldersC. A client who has a metal bar protruding from the upper abdomen and is hyperventilatingD. 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.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN