ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 of 5

A PACU nurse is monitoring the drainage from a client's NG tube following abdominal surgery. Which of the following findings in the first postoperative hour should the nurse report to the provider?

A. 100 mL of red drainage B. 150 mL of serosanguineous drainage C. 200 mL of brown drainage D. 75 mL of greenish-yellow drainage

Correct Answer: A

Rationale: Red drainage (
A) suggests active bleeding, requiring immediate reporting. Serosanguineous (
B), brown (
C), and greenish-yellow (
D) drainage are expected post-surgery.

Question 2 of 5

A nurse is caring for a client who has diabetes mellitus and has been following a treatment plan for 3 months. Which of the following laboratory results should the nurse monitor to determine long-term glycemic control?

A. Oral glucose tolerance test results B. Glycosylated hemoglobin level C. Fasting blood glucose level D. Postprandial blood glucose level

Correct Answer: B

Rationale: HbA1c (
B) reflects average glucose over 2-3 months, ideal for long-term control. OGTT (
A), fasting (
C), and postprandial (
D) glucose measure short-term status.

Question 3 of 5

A nurse is providing discharge teaching to a client who is postoperative following a total hip arthroplasty. Which of the following statements should the nurse make?

A. Twist at the waist when standing from a seated position. B. Move your stronger leg first when using a walker. C. Apply a heating pad to the operative hip to decrease pain. D. Use a raised toilet seat to maintain your hips above your knees.

Correct Answer: D

Rationale: A raised toilet seat (
D) prevents hip flexion beyond 90°, reducing dislocation risk. Twisting (
A) and heat (
C) increase risk, and stronger leg movement (
B) is not specific.

Question 4 of 5

A charge nurse on a neurological unit is making room assignments for a group of clients. Which of the following clients should the nurse assign to the room closest to the nurses' station?

A. A client who has a headache following a grade 1 concussion B. A client who has a score of 0 on the NIH Stroke Scale following a transient ischemic attack C. A client who has experienced brain death and is awaiting organ procurement D. A client who has a score of 10 on the Glasgow Coma Scale following a motor vehicle crash

Correct Answer: D

Rationale: A GCS of 10 (
D) indicates moderate brain injury, requiring close monitoring. Concussion (
A), TIA (
B), and brain death (
C) are less acute or stable.

Question 5 of 5

A nurse is preparing a teaching plan for a client who has mucositis related to chemotherapy treatment. Which of the following instructions should the nurse include?

A. Wear your dentures only during meals. B. Rinse your mouth with hydrogen peroxide. C. Floss your teeth gently following each meal. D. Brush your teeth for 60 seconds twice daily.

Correct Answer: C

Rationale: Gentle flossing (
C) maintains oral hygiene without irritating mucositis. Dentures (
A) may worsen irritation, hydrogen peroxide (
B) is harsh, and short brushing (
D) is insufficient.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN