ATI RN
ATI RN Adult Medical Surgical 2023 Questions Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who had a bilateral architectomy. The nurse should instruct the client to expect which of the following symptoms?
Correct Answer: A
Rationale: The correct answer is A: Hypoglycemia. After a bilateral adrenalectomy, the client will have decreased cortisol production, leading to adrenal insufficiency. This can result in hypoglycemia due to decreased glucose regulation. Increased libido (
B) and increased muscle mass (
D) are not typical symptoms following this procedure. Hot flashes (
C) are more commonly associated with menopause.
Question 2 of 5
A nurse is caring for a client who has gastroenteritis. Which of the following assessment findings should the nurse recognize as an indication that the client is experiencing dehydration?
Correct Answer: C
Rationale: The correct answer is C: Decreased blood pressure. Dehydration leads to a decrease in blood volume, causing a drop in blood pressure. As a result, the body tries to conserve fluids, leading to decreased urine output and concentrated urine. Distended jugular veins (
A) are more indicative of heart failure. Increased blood pressure (
B) is not typically associated with dehydration. Pitting, dependent edema (
D) is a sign of fluid overload, not dehydration.
Question 3 of 5
A nurse is teaching the family of a client who has Alzheimer's disease about caring for the client at home. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Place a large face clock in the client's bedroom. This is important for clients with Alzheimer's disease as it helps them maintain a sense of time and routine. People with Alzheimer's often struggle with time perception, so having a clock with large, easy-to-read numbers can assist them in understanding the time of day. This can help reduce confusion and anxiety.
A: Keeping the client's bedroom dark at night may increase confusion and disorientation for someone with Alzheimer's.
B: Covering electrical outlets with tape is not relevant to caring for a client with Alzheimer's at home.
C: Hanging a monthly calendar in the client's bedroom may not be as effective as a large face clock in helping the client understand time.
Question 4 of 5
A nurse is providing discharge teaching to a client who reports that they cannot afford their prescribed medication. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because the nurse should address the client's financial concerns by offering a social worker to assist with resources. This option demonstrates holistic care and supports the client's well-being beyond the medical aspect. Option B is irrelevant as it does not address the medication affordability issue. Option C puts the burden on the client to find a solution. Option D is not appropriate as the client may not feel comfortable asking for a cheaper medication directly.
Question 5 of 5
A nurse is caring for a client who has a full chest, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide humidified oxygen. This is because the client with a full chest may be experiencing difficulty breathing, and humidified oxygen can help improve oxygenation and relieve respiratory distress. Inpatient fluid reduction (choice
A) is not indicated without further assessment. Admonitor antibiotic medication (choice
C) is not directly related to addressing the client's respiratory distress. Administering acute/micoplasm (café) (choice
D) is not a recognized medical intervention. Providing humidified oxygen is the most appropriate initial action to address the client's respiratory symptoms.