ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 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 2 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 3 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.

Question 4 of 5

A nurse is assessing a client who is 4 hr. postoperative following arterial revascularization of the left femoral artery. Which of the following findings should the nurse report to the provider immediately?

A. Pallor in the affected extremity B. Urine output 150 mL over 4 hr C. Temperature of 37.9°C (100.2°F) D. Bruising around the incisional site

Correct Answer: A

Rationale: Pallor (
A) suggests compromised blood flow, a critical complication post-revascularization. Urine output (
B) is adequate, mild fever (
C) is expected, and bruising (
D) is common.

Question 5 of 5

A nurse is caring for a group of clients who are 12 hr postoperative. The nurse should identify that the client who had which of the following procedures is at risk for developing fat embolism syndrome?

A. Thyroidectomy B. Repair of a torn rotator cuff C. Tympanoplasty D. Internal fixation of a fractured hip

Correct Answer: D

Rationale: Internal fixation of a hip fracture (
D) risks fat embolism due to bone marrow disruption. Thyroidectomy (
A), rotator cuff repair (
B), and tympanoplasty (
C) have lower risks.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

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