ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is providing dietary instructions to a client who has cardiovascular disease. The nurse should identify that which of following statements by the client indicates an understanding of the teaching?

A. I will use canola oil when making salad dressing. B. I will drink whole milk with my cereal. C. I will increase my intake of canned vegetables. D. I will limit my portions of meat to 8 ounces.

Correct Answer: A

Rationale: Canola oil (
A) is heart-healthy with low saturated fat. Whole milk (
B) is high in fat, canned vegetables (
C) have sodium, and 8 oz meat (
D) exceeds recommended portions.

Question 2 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?

A. Gently elevate the client's head and note any nuchal rigidity. B. Run a tongue blade on the outside of the client's sole and note any flaring of the toes C. Strike the client's patellar tendon with a percussion hammer and note any increase in response. D. Tap the client's facial nerve and note any facial twitching

Correct Answer: A

Rationale: Nuchal rigidity (
A) is a hallmark of meningitis due to meningeal irritation. Babinski's test (
B), patellar reflex (
C), and Chvostek's sign (
D) assess unrelated conditions.

Question 3 of 5

A nurse is caring for a client who has been prescribed an antibiotic. The client tells the nurse, 'I don't like taking medications because I don't think I need them.' Which of the following responses should the nurse make?

A. If you don't take this medication, you will feel worse. B. Most clients feel better after taking the antibiotic. C. I will tell your provider that you do not want to take this medication. D. Your provider wouldn't prescribe this medication if it weren't necessary.

Correct Answer: D

Rationale: Explaining the necessity (
D) educates and encourages adherence. Threats (
A) are coercive, general statements (
B) lack specificity, and deferring (
C) avoids addressing concerns.

Question 4 of 5

A nurse is admitting a client who has meningitis. Which of the following findings should the nurse expect?

A. Bradycardia B. Intermittent headache C. Petechiae on the chest D. Photophobia

Correct Answer: D

Rationale: Photophobia (
D) is common in meningitis due to meningeal irritation. Bradycardia (
A) is rare, headaches (
B) are constant, and petechiae (
C) are specific to certain types like meningococcal.

Question 5 of 5

A nurse is caring for a client who has acute angina. Which of the following actions should the nurse take first?

A. Administer nitroglycerin. B. Measure blood pressure. C. Initiate IV access D. Administer aspirin.

Correct Answer: A

Rationale: Nitroglycerin (
A) relieves angina pain by dilating coronary arteries, the priority. Blood pressure (
B), IV access (
C), and aspirin (
D) follow to stabilize and prevent progression.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN