ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has Graves' disease about recognizing the manifestations of thyroid storm. Which of the following findings should the nurse include in the teaching?
Correct Answer: B
Rationale: Thyroid storm, a hyperthyroid crisis, causes fever (increased temperature) due to excessive thyroid hormone. Tachycardia, agitation, and hypertension are also typical, not decreased heart rate, lethargy, or hypotension.
Question 2 of 5
A nurse is providing discharge teaching to a client who is postoperative following a total hip arthroplasty. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: A raised toilet seat keeps hips above knees, preventing dislocation post-hip arthroplasty. Heat risks inflammation, moving the stronger leg first is for canes, and twisting increases dislocation risk.
Question 3 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?
Correct Answer: C
Rationale: Referring to a home health agency supports the client's desire for self-care by providing professional assistance, advocating for independence. Other actions provide advice but don't address ongoing support needs.
Question 4 of 5
A nurse is providing teaching to a client who is to start furosemide therapy for heart failure. Which of the following statements indicates that the client understands a potential adverse effect of this medication?
Correct Answer: B
Rationale: Furosemide, a diuretic, can cause hypokalemia. Including potassium-rich foods like cantaloupe indicates understanding of this risk. Limiting salt helps heart failure but isn't an adverse effect, pulse checking is unrelated, and furosemide lowers, not raises, blood pressure.
Question 5 of 5
A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Petechiae indicate thrombocytopenia, common in leukemia, increasing bleeding risk. Bleeding precautions (e.g., avoiding invasive procedures, using soft brushes) are essential to prevent hemorrhage, unlike the other options, which are irrelevant to this finding.