ATI RN
ATI 24 Spns 126 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about rifampin with a female client who has active tuberculosis. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: Rifampin can cause discoloration of body fluids, including tears, which can stain contact lenses.
Therefore, it is recommended to wear glasses instead of contacts while taking this medication.
Question 2 of 5
A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe. Which of the following instructions should the nurse provide?
Correct Answer: A
Rationale: Regular insulin should be clear; if it appears cloudy, it may be contaminated or expired and should be discarded to ensure safe administration.
Question 3 of 5
A nurse in the emergency department is assisting with the care of a client who is comatose. The provider suspects ketoacidosis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: An acetone odor to the breath is a classic sign of diabetic ketoacidosis, occurring due to the accumulation of ketones in the blood.
Question 4 of 5
A nurse is collecting data from a client who has systemic lupus erythematosus. Which of the following findings is the highest priority to report to the provider?
Correct Answer: D
Rationale: Peripheral edema is the highest priority as it may indicate kidney involvement, a serious SLE complication requiring immediate attention.
Question 5 of 5
A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: Elevating the head of the bed helps reduce acid reflux by keeping stomach acid from flowing back into the esophagus during sleep.