ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is providing teaching for the family of a client who has Alzheimer's disease. Which of the following statements should the nurse include?

A. Provide plenty of stimulation in the client's room.B. Display a monthly calendar in the client's room.C. Keep the client's room dark at night to promote sleep.D. Provide the client with structured activities to fill their time.

Correct Answer: D

Rationale: Structured activities help maintain routine and engagement for clients with Alzheimer's, reducing confusion and agitation. Excessive stimulation (
A) can be overwhelming, calendars (
B) may not be effective due to memory deficits, and a dark room (
C) may increase disorientation.

Question 2 of 5

A nurse in a provider's office is evaluating a client who has been taking lisinopril for hypertension. The nurse should identify which of the following findings as an adverse effect of this medication?

A. LeukocytosisB. CoughC. HypokalemiaD. Bradycardia

Correct Answer: B

Rationale: A dry cough (
B) is a common side effect of ACE inhibitors like lisinopril due to bradykinin accumulation. Leukocytosis (
A), hypokalemia (
C), and bradycardia (
D) are not typical adverse effects.

Question 3 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) reduces cardiovascular risk with low saturated fat. Whole milk (
B), canned vegetables (
C), and large meat portions (
D) are not heart-healthy choices.

Question 4 of 5

A nurse on a medical-surgical unit is preparing to administer amoxicillin PO when the client refuses the medication. Which of the following actions should the nurse take?

A. Record the client's refusal in the electronic health record.B. Leave the medication at the client's bedside for them to take later.C. Schedule the client's medication for a later time.D. Prepare the client's medication intravenously instead of PO.

Correct Answer: A

Rationale: Documenting refusal (
A) ensures legal and clinical accountability. Leaving medication (
B) is unsafe, rescheduling (
C) requires provider input, and IV administration (
D) needs a new order.

Question 5 of 5

A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?

A. Determine the client's blood type.B. Implement airborne precautions.C. Avoid administering IV pain medication.D. Institute bleeding precautions

Correct Answer: D

Rationale: Petechiae indicate thrombocytopenia in leukemia, requiring bleeding precautions (
D). Blood typing (
A) is irrelevant, airborne precautions (
B) are for infections, and IV pain meds (
C) are not contraindicated.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

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