ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is providing discharge teaching to a client who has pulmonary tuberculosis. Which of the following findings should the nurse include as an indication the client is no longer infectious?

A. Client no longer coughing up blood-tinged sputumB. Mantoux skin test revealing an induration of less than 1 mmC. Negative sputum cultures for acid-fast bacillusD. Positive Quantiferon-TB Gold test (negative)

Correct Answer: C

Rationale: Negative sputum cultures (
C) confirm the absence of active TB bacteria, indicating non-infectiousness. Hemoptysis (
A) is a symptom, Mantoux (
B) assesses exposure, and Quantiferon (
D) is not used for infectiousness.

Question 2 of 5

A nurse on a medical-surgical unit is planning care for a client who has dementia and a history of wandering. Which of the following actions should the nurse plan to implement?

A. Use chemical restraints at bedtime.B. Use a bed alarm.C. Move client to a double room.D. Encourage participation in activities that provide excessive stimulation.

Correct Answer: B

Rationale: A bed alarm (
B) alerts staff to wandering, enhancing safety. Chemical restraints (
A) are a last resort, double rooms (
C) may increase confusion, and overstimulation (
D) can exacerbate agitation.

Question 3 of 5

A nurse is teaching a client who has HIV about infection prevention. The nurse should instruct the client to avoid contact with which of the following items?

A. Soiled cat litterB. Scrambled eggsC. Pasteurized milkD. Electric razor

Correct Answer: A

Rationale: Soiled cat litter (
A) poses a risk of toxoplasmosis, dangerous for HIV clients. Scrambled eggs (
B), pasteurized milk (
C), and electric razors (
D) are safe when properly handled.

Question 4 of 5

A nurse is triaging clients following a mass casualty accident. Which of the following clients should be the nurse's priority?

A. A client who has an open fractured femur and reports severe painB. A client who has vomited twice and has contusions to both arms and shouldersC. A client who has a metal bar protruding from the upper abdomen and is hyperventilatingD. A client who has several large lacerations to the upper extremities and can explain what occurred

Correct Answer: C

Rationale: A client with a penetrating abdominal injury and hyperventilation (
C) indicates potential internal bleeding and shock, requiring immediate intervention. Fractures (
A), vomiting (
B), and lacerations (
D) are less immediately life-threatening.

Question 5 of 5

A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching?

A. I will wipe up areas soiled with body fluids with alcohol and immediately dispose of the trash,B. I will need to take my clothes to the dry cleaners to sterilize them.C. I will increase the amount of fresh fruits and vegetables I consume.D. I will be sure to wear gloves and wash my hands when I change my cat's litter box.

Correct Answer: D

Rationale: Wearing gloves for cat litter (
D) prevents toxoplasmosis, critical in AIDS. Alcohol cleaning (
A) is insufficient, dry cleaning (
B) is unnecessary, and diet changes (
C) are not specific to infection prevention.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN