ATI RN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is reviewing providers' prescriptions for four clients. Which of the following prescriptions should the nurse verify with the provider?

A. Apply mitten restraints to prevent the client from disconnecting their tube feeding.B. Apply a vest restraint daily at bedtime to prevent nighttime wandering.C. Apply an abduction pillow between the client's knees while they are in bed to prevent hip dislocation.D. Apply soft heel protectors bilaterally while client is in bed.

Correct Answer: B

Rationale: Vest restraints daily at bedtime require verification due to safety and legal implications.

Question 2 of 5

A nurse is preparing to administer fresh frozen plasma to a client. Which of the following is correct?

A. Administer the transfusion through a 25-gauge saline lock.B. Transfuse the plasma over 4 hr.C. Hold the transfusion if the client is actively bleeding.D. Administer the plasma immediately after thawing.

Correct Answer: D

Rationale: Plasma must be administered immediately after thawing to maintain efficacy.

Question 3 of 5

A nurse is caring for a client who has acute heart failure and received morphine IV 30 min ago. Which of the following findings should the nurse identify as an indication that the medication was effective?

A. Emesis of 250 mLB. Increased respiratory rate to 26/minC. Decreased anxietyD. Decreased urinary output

Correct Answer: C

Rationale: Morphine reduces anxiety and preload in acute heart failure, improving comfort and breathing.

Question 4 of 5

A nurse is planning care for a client who has hemiplegia. Which of the following interventions should the nurse include?

A. Use moisturizing lotion while massaging the client's bony prominences.B. Instruct the client to sit on a rubber ring when seated in a chair.C. Place pillows between the client's knees when in a side-lying position.D. Raise the head of the client's bed to a 90° angle.

Correct Answer: C

Rationale: Pillows between the knees prevent adduction and pressure ulcers in hemiplegia.

Question 5 of 5

A nurse is assessing a client who is taking telmisartan. The nurse should identify that which of the following findings indicates that the medication has been effective?

A. Respiratory rate of 16/minB. Decrease in blood pressureC. Increase in urinary outputD. Blood glucose of 110 mg/dL

Correct Answer: B

Rationale: Telmisartan, an antihypertensive, is effective if it lowers blood pressure.

ATI RN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI RN

ATI RN