ATI RN Adult Med-Surg 2023

Extract:

Question 1 of 5

A nurse is providing instructions to a client who has primary syphilis. Which of the following instructions should the nurse include in the discharge plan?

A. You will need to take an antiviral medication for 6 months. B. You will need cryotherapy for 1 to 2 weeks. C. You will need three follow-up blood tests within a 24-month period. D. You will need to be monitored for 15 minutes after receiving each medication dose.

Correct Answer: C

Rationale: Syphilis requires follow-up blood tests to monitor treatment efficacy over time.

Question 2 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?

A. Cover electrical outlets in the client's home with tape. B. Keep the client's bedroom dark at night. C. Hang a monthly calendar in the client's bedroom. D. Place a large-face clock in the client's bedroom.

Correct Answer: D

Rationale: A large-face clock helps clients with Alzheimer's maintain orientation to time.

Extract:

A nurse is caring for a client.
Medical History
Nurses' Notes
Vital Signs
Cerebrovascular accident 2 years ago

Coronary artery disease

Hypertension

Hyperlipidemia

Question 3 of 5

A nurse is reviewing the client's medical record. After reviewing the medical record, which of the following actions should the nurse plan to take? For each potential provider's prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client.

Potential Prescription	Anticipated	Nonessential	Contraindicated
Encourage the client to cough.
Keep the client's head in a midline position.
Elevate the head of the bed.
Assist the client to the bathroom.
Initiate seizure precautions.
Decrease oxygen to 1.5 L/min via nasal cannula.

Correct Answer:

Rationale: Specific answers not provided; anticipated actions likely include B and C due to history of cerebrovascular accident.

Extract:

Vital Signs
Diagnostic Results
Physical Examination
Medical History
Blood pressure 106/64 mm Hg

Heart rate 95/min

Respiratory rate 20/min

Temperature 37.8° C (100° F)

Oxygen saturation 95% on O2 at 3 L/min via nasal cannula

Question 4 of 5

A nurse is caring for an older adult client who was admitted with a urinary tract infection. The nurse is assessing the client 12 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.

Findings 12 hr later	Unrelated to diagnosis	Indication of potential improvement	Indication of potential worsening of condition
Oxygen saturation 96% at 2 L/min via nasal cannula
Disoriented to person, place, and time
Blood pressure 100/50 mm Hg
Hct 45%
Pink-tinged urine
Butterfly rash

Correct Answer:

Rationale: Specific answers not provided; A likely indicates improvement, B and C suggest worsening.

Extract:

Medical history
Vital Signs
Physical Examination
Diagnostic Results
Hemochromatosis

Question 5 of 5

A nurse is admitting a middle adult client who has cirrhosis. The nurse is assessing the client 24 hr later. How should the nurse interpret the findings? For each finding, click to specify whether the finding is unrelated to the diagnosis, a sign of potential improvement, or a sign of potential worsening condition.

Findings 12 hr later	Unrelated to diagnosis	Indication of potential improvement	Indication of potential worsening of condition
Elevated iron levels
Increased albumin level
Productive cough
Ascites
Hematemesis
Spontaneous bruising

Correct Answer:

Rationale: Specific answers not provided; D, E, F indicate worsening cirrhosis complications.

ATI RN Adult Med-Surg 2023 | Nurselytic

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ATI RN

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