ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse is triaging clients following a mass casualty accident. Which of the following clients should be the nurse's priority?

A. A client who has an open fractured femur and reports severe pain B. A client who has vomited twice and has contusions to both arms and shoulders C. A client who has a metal bar protruding from the upper abdomen and is hyperventilating D. A client who has several large lacerations to the upper extremities and can explain what occurred

Correct Answer: C

Rationale: A client with a penetrating abdominal injury and hyperventilation (
C) indicates potential internal bleeding and shock, requiring immediate intervention. Fractures (
A), vomiting (
B), and lacerations (
D) are less immediately life-threatening.

Question 2 of 5

A nurse is caring for a client who has a full-thickness burn injury covering 15% of their body. Which of the following actions should the nurse take?

A. Place the client on a low-carbohydrate diet. B. Monitor the client's calorie intake daily. C. Place the client on strict bed rest. D. Weigh the client once per week.

Correct Answer: B

Rationale: Monitoring calorie intake (
B) ensures adequate nutrition for healing in burn patients. Low-carb diets (
A) are inappropriate, strict bed rest (
C) is unnecessary unless specified, and weekly weighing (
D) is insufficient for monitoring fluid status.

Question 3 of 5

A nurse on a medical-surgical unit is preparing to administer amoxicillin PO when the client refuses the medication. Which of the following actions should the nurse take?

A. Record the client's refusal in the electronic health record. B. Leave the medication at the client's bedside for them to take later. C. Schedule the client's medication for a later time. D. Prepare the client's medication intravenously instead of PO.

Correct Answer: A

Rationale: Documenting refusal (
A) ensures legal and clinical accountability. Leaving medication (
B) is unsafe, rescheduling (
C) requires provider input, and IV administration (
D) needs a new order.

Question 4 of 5

A nurse is teaching a client who has diabetes mellitus about home management of mild hypoglycemia. Which of the following statements should the nurse include in the teaching?

A. Eat a large snack of carbohydrates and protein after treating hypoglycemia. B. Treat the symptoms of hypoglycemia by consuming 45 grams of carbohydrates. C. Drink 12 ounces of milk to treat the symptoms of hypoglycemia, D. Retest your blood glucose 15 minutes after treatment of a hypoglycemic episode.

Correct Answer: D

Rationale: Retesting blood glucose after 15 minutes (
D) confirms resolution of hypoglycemia. Large snacks (
A) may cause hyperglycemia, 15-30 grams of carbs is standard (B is incorrect), and 4-8 oz of milk is typical (C is excessive).

Question 5 of 5

A nurse is assessing a client who has myasthenia gravis. Which of the following client statements should indicate to the nurse that the client needs a referral for occupational therapy?

A. I have difficulty swallowing food. B. I have a hard time with brushing my hair. C. I've been having problems with bladder control D. I would rather be in a wheelchair than use a walker to get around.

Correct Answer: B

Rationale: Difficulty brushing hair (
B) indicates upper extremity weakness, appropriate for occupational therapy. Swallowing issues (
A) require speech therapy, bladder control (
C) needs urology, and mobility preference (
D) is not an OT focus.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN