ATI RN Adult Medical Surgical 2023 IV

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?

A. Wear your dentures only during meals.B. Rinse your mouth with hydrogen peroxide.C. Floss your teeth gently following each meal.D. Brush your teeth for 60 seconds twice daily.

Correct Answer: C

Rationale: Gentle flossing (
C) maintains oral hygiene without irritating mucositis. Dentures (
A) may worsen irritation, hydrogen peroxide (
B) is harsh, and short brushing (
D) is insufficient.

Question 2 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 3 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 4 of 5

A nurse working in the emergency department is admitting a client who has pertussis. Which of the following actions should the nurse take?

A. Perform a Mantoux skin test on the client.B. Wear a surgical mask when providing care to the client.C. Recommend that the client's family members receive antiviral therapy.D. Assign the client to a negative-pressure airflow room.

Correct Answer: B

Rationale: A surgical mask (
B) prevents droplet transmission of pertussis. Mantoux (
A) tests TB, antivirals (
C) are for viral infections, and negative-pressure rooms (
D) are for airborne diseases.

Question 5 of 5

A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates effectiveness of the teaching?

A. I should expect to take my medication for 3 weeks.B. I should apply antibiotic ointment to the lesions.C. I should expect my lesions to resolve in 6 weeks.D. I should use natural skin condoms during sexual intercourse.

Correct Answer: A

Rationale: Antiviral treatment for herpes (
A) typically lasts 7-10 days, but 3 weeks may reflect understanding of initial or suppressive therapy duration. Antibiotics (
B) are ineffective, lesions resolve in 2-4 weeks (
C), and natural condoms (
D) are less effective.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN