ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has osteoporosis and is prescribed (Fosamax) alendronate 70 mg PO weekly. Which of the following statements by the client indicates a need for further instruction?
Correct Answer: B
Rationale: Alendronate should be taken with water, not milk, due to calcium interference with absorption; this indicates a need for further teaching.
Question 2 of 5
A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The rise and fall (tidaling) in the water-seal chamber reflects normal breathing mechanics, indicating a patent system.
Question 3 of 5
A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory results should the nurse monitor to determine long-term glycemic control?
Correct Answer: A
Rationale: HbA1c reflects average blood glucose over 2-3 months, indicating long-term control.
Question 4 of 5
A nurse is assessing a client who has myasthenia gravis. Which of the following client statements should indicate to the nurse that the client needs a referral for occupational therapy?
Correct Answer: C
Rationale: Difficulty with activities of daily living like brushing hair indicates a need for occupational therapy to improve upper extremity function.
Question 5 of 5
A nurse is caring for a client who has acute angina. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Nitroglycerin is the priority for acute angina to relieve chest pain by dilating coronary arteries, per acute coronary syndrome protocols.