ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 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 2 of 5

A nurse is providing discharge teaching for a client who is receiving treatment for genital herpes. Which of the following statements by the client indicates effectiveness of the teaching?

A. I should expect to take my medication for 3 weeks.B. I should apply antibiotic ointment to the lesions.C. I should expect my lesions to resolve in 6 weeks.D. I should use natural skin condoms during sexual intercourse.

Correct Answer: A

Rationale: Antiviral treatment for herpes (
A) typically lasts 7-10 days, but 3 weeks may reflect understanding of initial or suppressive therapy duration. Antibiotics (
B) are ineffective, lesions resolve in 2-4 weeks (
C), and natural condoms (
D) are less effective.

Question 3 of 5

A nurse is caring for a client who has emphysema. Which of the following interventions should the nurse include in the client's plan of care?

A. Administer oxygen at 2 L/min.B. Teach the client a breathing exercise with a longer inhalation phase.C. Encourage use of incentive spirometry for 5 min every 2 hr.D. Limit fluid intake to1,000 mL per day.

Correct Answer: A

Rationale: Low-flow oxygen at 2 L/min (
A) helps maintain adequate oxygenation in emphysema without suppressing respiratory drive. Longer inhalation (
B) is not typical, incentive spirometry duration (
C) is insufficient, and fluid restriction (
D) is not indicated unless specified.

Question 4 of 5

A nurse is providing teaching for the family of a client who has Alzheimer's disease. Which of the following statements should the nurse include?

A. Provide plenty of stimulation in the client's room.B. Display a monthly calendar in the client's room.C. Keep the client's room dark at night to promote sleep.D. Provide the client with structured activities to fill their time.

Correct Answer: D

Rationale: Structured activities help maintain routine and engagement for clients with Alzheimer's, reducing confusion and agitation. Excessive stimulation (
A) can be overwhelming, calendars (
B) may not be effective due to memory deficits, and a dark room (
C) may increase disorientation.

Question 5 of 5

A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic leukemia. The nurse notes petechiae on the client's skin. Which of the following actions should the nurse take?

A. Determine the client's blood type.B. Implement airborne precautions.C. Avoid administering IV pain medication.D. Institute bleeding precautions

Correct Answer: D

Rationale: Petechiae indicate thrombocytopenia in leukemia, requiring bleeding precautions (
D). Blood typing (
A) is irrelevant, airborne precautions (
B) are for infections, and IV pain meds (
C) are not contraindicated.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN