ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is teaching about food choices to a client who has chronic kidney disease and must limit potassium intake. Which of the following choices should the nurse recommend as containing the least potassium?

A. 2 tbsp peanut butterB. 1 cup white riceC. 1/2 cup nonfat yogurtD. 1 medium baked potato with skin

Correct Answer: B

Rationale: White rice (
B) has low potassium compared to peanut butter (
A), yogurt (
C), and potatoes (
D), which are high-potassium foods restricted in kidney disease.

Question 2 of 5

A nurse is preparing to obtain a guaiac smear sample from a client for fecal occult blood testing. Which of the following actions should the nurse plan to take?

A. Discard samples that contain urine.B. Collect three samples from a single bowel movement.C. Wear sterile gloves when collecting the sample.D. Take the sample from the outer edge of formed stool.

Correct Answer: A

Rationale: Discarding urine-contaminated samples (
A) ensures test accuracy. Multiple movements are sampled (
B), clean gloves are used (
C), and samples are taken from different areas (
D).

Question 3 of 5

A nurse is caring for a client who is receiving morphine through a PCA device. Which of the following actions should the nurse take?

A. Monitor the client's respiratory status every 4 hr.B. Administer an oral opioid for breakthrough pain.C. Teach the client how to self-medicate using the PCA device.D. Encourage family members to press the PCA button for the client.

Correct Answer: C

Rationale: Teaching PCA use (
C) empowers the client to manage pain safely. Monitoring should be more frequent (
A), oral opioids (
B) require orders, and family use (
D) risks overdose.

Question 4 of 5

A nurse is assessing a client who has skeletal traction for a femoral fracture. The nurse notes that the weights are resting on the floor. Which of the following actions should the nurse take?

A. Remove one of the weights.B. Tie knots in the ropes near the pulleys to shorten them.C. Pull the client up in bed.D. Increase the elevation of the affected extremity.

Correct Answer: C

Rationale: Pulling the client up (
C) restores traction by lifting weights off the floor. Removing weights (
A), tying knots (
B), or elevating further (
D) disrupts traction alignment.

Question 5 of 5

A nurse is caring for a postoperative client who has an indwelling urinary catheter. Which of the following actions should the nurse take when removing the catheter?

A. Rapidly deflate the balloon before removing the tubing.B. Place the client in the dorsal recumbent position,C. Reinsert the catheter if the client does not void within 1 hr.D. Obtain a sterile urine specimen after catheter removal.

Correct Answer: B

Rationale: The dorsal recumbent position (
B) facilitates safe catheter removal. Rapid deflation (
A) can cause trauma, reinsertion (
C) is not standard without assessment, and sterile specimens (
D) are collected before removal if needed.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN