ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 of 5
A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy treatment. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Gentle flossing helps maintain oral hygiene without aggravating mucositis, unlike hydrogen peroxide, which can irritate, or inadequate brushing time.
Question 2 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?
Correct Answer: C
Rationale: White rice has the lowest potassium content compared to peanut butter, baked potatoes (high in potassium), and yogurt.
Question 3 of 5
A nurse is planning care for a client who is postoperative following insertion of an arteriovenous graft in their left forearm. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Checking the distal pulse ensures adequate circulation and graft patency, critical for monitoring post-arteriovenous graft insertion.
Question 4 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?
Correct Answer: C
Rationale: Nuchal rigidity is a classic sign of meningitis, assessed by resistance or pain when flexing the neck, indicating meningeal irritation.
Question 5 of 5
A nurse in a clinic is assessing a client who has type 1 diabetes mellitus. The client is diaphoretic, has a heart rate of 92/min, and reports palpitations. The client states, 'I went for my morning run and feel exhausted.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Exercise can lower blood glucose, and inadequate insulin adjustment may lead to hypoglycemia, suggested by diaphoresis and palpitations.