ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A nurse manager is providing an in-service to a group of newly licensed nurses about the use of personal protective equipment. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?

A. I should wear goggles when irrigating a wound. B. I should wear a gown to remove linens from a client's bed. C. Sterile gloves are required when administering an IM injection. D. I should use both hands to recap a needle.

Correct Answer: A

Rationale: Goggles (
A) protect against splashes during wound irrigation. Gowns (
B) are not needed for linens unless soiled, sterile gloves (
C) are for procedures, and recapping needles (
D) is unsafe.

Question 2 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 3 of 5

A nurse is assessing a client who has major full-thickness burns to their lower legs 12 hr ago. Which of the following findings should the nurse expect?

A. Blistering at the site B. Severe pain at the site C. Epithelialization at the site D. Edema at the site

Correct Answer: D

Rationale: Edema (
D) is expected 12 hours post-burn due to vascular permeability. Full-thickness burns lack blisters (
A) and pain (
B) due to nerve damage, and epithelialization (
C) occurs later.

Question 4 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 ketoacidosis B. An older adult client who was admitted with aspiration pneumonia C. A client who has a compound fracture of the right femur D. 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 5 of 5

A nurse in the emergency department is monitoring a client who is receiving dopamine to treat hypovolemic shock. Which of the following findings should the nurse identify as an indication for increasing the client's dopamine dosage?

A. Oxygen saturation 95% B. Respiratory rate 14/min C. Blood pressure 90/50 mm Hg D. Heart rate 60/min

Correct Answer: C

Rationale: Low blood pressure (
C) indicates inadequate perfusion, warranting a dopamine increase. Normal oxygen (
A), respiratory rate (
B), and heart rate (
D) do not require dose adjustment.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN