ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A nurse is reinforcing discharge teaching with a client on how to care for a newly created ileal conduit. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Emptying the pouch when 2/3 full prevents leakage and maintains skin integrity.
Question 2 of 5
A nurse is preparing to assist with an ocular irrigation for a client who had a chemical splash to the left eye. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Placing pH paper under the upper lid assesses the chemical's pH, guiding the irrigation process to neutralize the substance effectively.
Question 3 of 5
A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse plan to include?
Correct Answer: A
Rationale: A low bed height reduces fall risk, a priority in dementia care.
Question 4 of 5
A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse?
Correct Answer: C
Rationale: A 25-gauge needle is appropriate for subcutaneous heparin to minimize tissue trauma.
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 hours. The nurse should anticipate a prescription for which of the following intravenous (IV) medications?
Correct Answer: D
Rationale: Excessive urination and thirst suggest diabetes insipidus from brainstem injury; desmopressin replaces ADH to reduce urine output.