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 assessing a client who has heart failure and a new prescription for metoprolol. Which of the following findings should the nurse identify as an adverse effect of the medication?

A. Temperature 36.3°C (97.3°F)B. Respiratory rate 10/minC. Blood pressure 138/76 mm HgD. Heart rate 48/min

Correct Answer: D

Rationale: A heart rate of 48/min (
D) indicates bradycardia, a common adverse effect of beta-blockers like metoprolol. Temperature (
A), respiratory rate (
B), and blood pressure (
C) are not typical concerns.

Question 3 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 painB. A client who has vomited twice and has contusions to both arms and shouldersC. A client who has a metal bar protruding from the upper abdomen and is hyperventilatingD. 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 4 of 5

A nurse working in the emergency department is admitting a client who has pertussis. Which of the following actions should the nurse take?

A. Perform a Mantoux skin test on the client.B. Wear a surgical mask when providing care to the client.C. Recommend that the client's family members receive antiviral therapy.D. Assign the client to a negative-pressure airflow room.

Correct Answer: B

Rationale: A surgical mask (
B) prevents droplet transmission of pertussis. Mantoux (
A) tests TB, antivirals (
C) are for viral infections, and negative-pressure rooms (
D) are for airborne diseases.

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. ThyroidectomyB. Repair of a torn rotator cuffC. TympanoplastyD. 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

Nurselytic

ATI RN

ATI RN