ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is providing discharge teaching to a client who is postoperative following a total hip arthroplasty. Which of the following statements should the nurse make?

A. Twist at the waist when standing from a seated position. B. Move your stronger leg first when using a walker. C. Apply a heating pad to the operative hip to decrease pain. D. Use a raised toilet seat to maintain your hips above your knees.

Correct Answer: D

Rationale: A raised toilet seat (
D) prevents hip flexion beyond 90°, reducing dislocation risk. Twisting (
A) and heat (
C) increase risk, and stronger leg movement (
B) is not specific.

Question 2 of 5

A charge nurse on a neurological unit is making room assignments for a group of clients. Which of the following clients should the nurse assign to the room closest to the nurses' station?

A. A client who has a headache following a grade 1 concussion B. A client who has a score of 0 on the NIH Stroke Scale following a transient ischemic attack C. A client who has experienced brain death and is awaiting organ procurement D. A client who has a score of 10 on the Glasgow Coma Scale following a motor vehicle crash

Correct Answer: D

Rationale: A GCS of 10 (
D) indicates moderate brain injury, requiring close monitoring. Concussion (
A), TIA (
B), and brain death (
C) are less acute or stable.

Question 3 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 4 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?

A. Fever B. Cloudy effluent C. Increased heart rate D. Generalized abdominal pain

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 5 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?

A. Client report of nausea B. Client report of incisional pain C. Serosanguineous drainage D. Muscle twitching

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.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN