ATI RN Adult Medical Surgical 2023 III

Extract:

Question 1 of 5

A nurse is teaching a client who has AIDS and wishes to continue self-care at home despite living alone. Which of the following actions by the nurse demonstrates client advocacy?

A. Remind the client of the importance of medication adherence. B. Tell the client to avoid places where there are large crowds of people. C. Initiate a referral for the client to a home health agency. D. Instruct the client to avoid eating raw vegetables.

Correct Answer: C

Rationale: Initiating a referral to a home health agency supports the client's ability to maintain self-care at home by ensuring access to necessary resources and assistance.

Question 2 of 5

A nurse is providing teaching for a client who has diabetes mellitus about the self-administration of insulin. The client has prescriptions for regular and NPH insulins. Which of the following statements by the client indicates an understanding of the teaching?

A. I will insert the needle at a 15-degree angle. B. I will store prefilled syringes in the refrigerator with the needle pointed downward. C. I will shake the NPH vial vigorously before drawing up the insulin. D. I will draw up the regular insulin into the syringe first.

Correct Answer: D

Rationale: Drawing up regular insulin before NPH prevents contamination of the regular insulin with NPH, ensuring accurate dosing.

Question 3 of 5

A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line in her left forearm. The client is receiving an antibiotic via intermittent IV bolus every 12 hr. Which of the following actions should the nurse take in managing the client's PICC line?

A. Change the transparent membrane dressing daily. B. Access the catheter using a non-coring needle. C. Maintain a continuous IV infusion through the PICC line. D. Flush the catheter with a 0.9% sodium chloride solution after each use.

Correct Answer: D

Rationale: Flushing the PICC line with 0.9% sodium chloride after each use prevents occlusion and maintains patency of the catheter.

Question 4 of 5

A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?

A. Elevation in blood pressure B. Adventitious breath sounds C. Respiratory rate of 24/min D. Weight loss of 1.8 kg (4 lb) in the past 24 hr

Correct Answer: D

Rationale: Weight loss indicates effective diuresis, as furosemide reduces fluid overload in pulmonary edema, leading to decreased body weight.

Question 5 of 5

A nurse is caring for a client who has skeletal traction applied to the left leg. Which of the following actions should the nurse take?

A. Check pressure points every 12 hr. B. Provide the client with a trapeze bar. C. Remove the weights before changing the client's bedlinens. D. Instruct the client to use their elbows to reposition.

Correct Answer: B

Rationale: A trapeze bar assists the client in repositioning without disrupting the traction, promoting comfort and mobility.

ATI RN Adult Medical Surgical 2023 III | Nurselytic

Nurselytic

ATI RN

ATI RN