ATI RN Adult Medical Surgical 2023 I

Extract:

Question 1 of 5

The nurse is instructing the client on the correct way to take nitroglycerin as needed for chest pain:

A. Two tablets PO (by mouth) every 15 minutes.B. One tablet SL (sublingual) every 15 minutes, up to 5 times.C. One tablet PO (by mouth) every one hour, up to 5 times.D. One tablet SL (sublingual) every 5 minutes, up to 3 times.

Correct Answer: D

Rationale: Sublingual nitroglycerin every 5 minutes up to 3 doses is the standard protocol for acute chest pain relief.

Question 2 of 5

A nurse on a medical-surgical unit is planning care for a client who has dementia and a history of wandering. Which of the following actions should the nurse plan to implement?

A. Move the client to a double room.B. Use a bed alarm.C. Encourage participation in activities that provide excessive stimulation.D. Use chemical restraints at bedtime.

Correct Answer: B

Rationale: A bed alarm alerts staff to wandering, enhancing safety without restraint.

Question 3 of 5

A nurse in the emergency department is evaluating a young adult client for bacterial meningitis. Which of the following actions should the nurse take as part of the focused assessment?

A. Tap the client's facial nerve and note any facial twitching.B. Strike the client's patellar tendon with a percussion hammer and note any increase in response.C. Gently elevate the client's head and note any nuchal rigidity.D. Run a tongue blade on the outside of the client's sole and note any flaring of the toes.

Correct Answer: C

Rationale: Nuchal rigidity is a classic sign of meningitis due to meningeal irritation.

Question 4 of 5

A nurse is reinforcing teaching with a client who has osteoporosis and is prescribed (Fosamax) alendronate 70 mg PO weekly. Which of the following statements by the client indicates a need for further instruction?

A. I take my other pills at least 30 minutes after my alendronate.B. I take my alendronate on the same day every week with an 8-ounce glass of milk.C. I sit up and read the morning paper after taking my alendronate.D. I will need to have a bone density test occasionally while taking this medication.

Correct Answer: B

Rationale: Alendronate should be taken with water, not milk, due to calcium interference with absorption; this indicates a need for further teaching.

Question 5 of 5

A nurse is caring for a client who is using a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take?

A. Turn the CPM machine off while the client is eating.B. Store the CPM machine on the floor when not in use.C. Check the settings of the CPM machine every 12 hours.D. Increase the range of motion rapidly when the CPM machine is used intermittently.

Correct Answer: A

Rationale: Turning off the CPM during eating ensures safety and comfort.

ATI RN Adult Medical Surgical 2023 I | Nurselytic

Nurselytic

ATI RN

ATI RN