ATI RN
ATI RN Adult Medical Surgical 2023 IV 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: 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 is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Correct Answer: B
Rationale: Cloudy effluent (
B) is the earliest sign of peritonitis in peritoneal dialysis, indicating infection. Fever (
A), tachycardia (
C), and pain (
D) appear later.
Question 3 of 5
A nurse is caring for a client who is postoperative following a complete thyroidectomy. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Muscle twitching (
D) suggests hypocalcemia from parathyroid injury, a life-threatening complication. Nausea (
A), pain (
B), and drainage (
C) are expected or less urgent.
Question 4 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 (
B) ensures graft patency and circulation. Blood draws from the graft (
A) risk damage, splinting (
C) is unnecessary, and elevation, not lowering (
D), is standard.
Question 5 of 5
A nurse is caring for a client in the ICU. The client's ECG monitor tracing reveals sinus bradycardia and ST segment elevation. The client reports shortness of breath and feeling dizzy and faint. Which of the following medications should the nurse administer?
Correct Answer: A
Rationale: Atropine (
A) treats symptomatic bradycardia, addressing dizziness and shortness of breath. Lidocaine (
B), digoxin (
C), and sotalol (
D) are inappropriate for acute bradycardia with ischemia.