ATI RN
ATI RN NSG Adult Medical-Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a dose of lactulose to a client diagnosed with cirrhosis. The client states, 'I don't need this medication. I am not constipated.' The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?
Correct Answer: A
Rationale: Lactulose reduces ammonia levels in cirrhosis by promoting its excretion in the stool, preventing hepatic encephalopathy.
Question 2 of 5
A nurse is caring for a client who has gastrointestinal bleeding. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Assessing orthostatic blood pressure evaluates hemodynamic stability, the priority in gastrointestinal bleeding.
Question 3 of 5
A charge nurse is looking to motivate the staff and to produce better outcomes on the unit. Which of the following behaviors by the charge nurse will produce those results?
Correct Answer: B
Rationale: Positive reinforcement motivates staff and improves outcomes by fostering a supportive environment.
Question 4 of 5
A nurse is caring for a client who has cirrhosis and a prothrombin time of 30 seconds. Which of the following medications should the nurse plan to administer?
Correct Answer: B
Rationale: Vitamin K corrects prolonged prothrombin time in cirrhosis by aiding clotting factor synthesis.
Question 5 of 5
A nurse is teaching an older adult client diagnosed with diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Stable glucose levels prevent microvascular damage leading to retinopathy and nephropathy.