ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is providing teaching to a client who is to start furosemide therapy for heart failure. Which of the following statements indicates that the client understands a potential adverse effect of this medication?

A. I will check my pulse before I take the medication.B. I will try to limit foods that contain salt.C. I'm going to include more cantaloupe in my diet.D. I check my blood pressure so it doesn't get too high.

Correct Answer: C

Rationale: Cantaloupe (
C) is high in potassium, addressing hypokalemia, a furosemide side effect. Pulse checking (
A), low sodium (
B), and blood pressure monitoring (
D) are not directly tied to its adverse effects.

Question 2 of 5

A nurse is caring for a client who is postoperative and develops respiratory depression after receiving morphine for pain control. Which of the following medications should the nurse expect the provider to prescribe?

A. NaloxoneB. FlumazenilC. Calcium gluconateD. Diphenhydramine

Correct Answer: A

Rationale: Naloxone (
A) reverses opioid-induced respiratory depression. Flumazenil (
B) reverses benzodiazepines, calcium gluconate (
C) treats hypocalcemia, and diphenhydramine (
D) is for allergies.

Question 3 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 concussionB. A client who has a score of 0 on the NIH Stroke Scale following a transient ischemic attackC. A client who has experienced brain death and is awaiting organ procurementD. 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 4 of 5

A nurse is caring for a client immediately following a lumbar puncture. Which of the following actions should the nurse take?

A. Instruct the client to lie flat.B. Measure blood glucose every 2 hr.C. Instruct the client to expect tingling in their extremities.D. Limit the client's fluid intake.

Correct Answer: A

Rationale: Lying flat (
A) prevents post-lumbar puncture headache by reducing CSF leakage. Glucose monitoring (
B), tingling (
C), and fluid restriction (
D) are not standard post-procedure care.

Question 5 of 5

A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications?

A. FurosemideB. NitroprussideC. DesmopressinD. Epinephrine

Correct Answer: C

Rationale: High urine output and thirst suggest diabetes insipidus from brainstem injury, treated with desmopressin (
C). Furosemide (
A), nitroprusside (
B), and epinephrine (
D) do not address this condition.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN