ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is teaching a client who has left-sided weakness how to use a quad cane. Which of the following client actions indicates an understanding of the teaching?

A. The client advances the weaker leg forward to the cane.B. The client holds the cane with their left hand.C. The client takes a step with their right foot first.D. The client moves the cane 2 feet ahead.

Correct Answer: A

Rationale: Advancing the weaker leg to the cane (
A) provides stability by aligning support with the weaker side. The cane should be held in the stronger hand (B is incorrect), stepping with the stronger leg first (
C) is not the taught sequence, and moving the cane too far (
D) risks imbalance.

Question 2 of 5

A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?

A. A client who has diabetes mellitus and is presenting with acute ketoacidosisB. An older adult client who was admitted with aspiration pneumoniaC. A client who has a compound fracture of the right femurD. A client who reports having fever, night sweats, and cough for 2 days

Correct Answer: D

Rationale: Fever, night sweats, and cough (
D) suggest possible TB, requiring airborne isolation in a private room. DKA (
A), pneumonia (
B), and fractures (
C) do not require private rooms.

Question 3 of 5

A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates effectiveness of the teaching?

A. I should expect to take my medication for 3 weeks.B. I should apply antibiotic ointment to the lesions.C. I should expect my lesions to resolve in 6 weeks.D. I should use natural skin condoms during sexual intercourse.

Correct Answer: A

Rationale: Antiviral treatment for herpes (
A) typically lasts 7-10 days, but 3 weeks may reflect understanding of initial or suppressive therapy duration. Antibiotics (
B) are ineffective, lesions resolve in 2-4 weeks (
C), and natural condoms (
D) are less effective.

Question 4 of 5

A nurse is caring for a client who has emphysema. Which of the following interventions should the nurse include in the client's plan of care?

A. Administer oxygen at 2 L/min.B. Teach the client a breathing exercise with a longer inhalation phase.C. Encourage use of incentive spirometry for 5 min every 2 hr.D. Limit fluid intake to1,000 mL per day.

Correct Answer: A

Rationale: Low-flow oxygen at 2 L/min (
A) helps maintain adequate oxygenation in emphysema without suppressing respiratory drive. Longer inhalation (
B) is not typical, incentive spirometry duration (
C) is insufficient, and fluid restriction (
D) is not indicated unless specified.

Question 5 of 5

A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy treatment. Which of the following instructions should the nurse include?

A. Wear your dentures only during meals.B. Rinse your mouth with hydrogen peroxide.C. Floss your teeth gently following each meal.D. Brush your teeth for 60 seconds twice daily.

Correct Answer: C

Rationale: Gentle flossing (
C) maintains oral hygiene without irritating mucositis. Dentures (
A) may worsen irritation, hydrogen peroxide (
B) is harsh, and short brushing (
D) is insufficient.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN