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ATI RN Adult Medical-Surgical

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 73 pages. Originally published on StudyMerit.

Pages
73
Academic year
2025/2026
Language
English

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← ATI RN Adult Medical Surgical 2023 III Total Questions : 98 Showing 98 questions Question 1: Report an Issue Report Wrong Answer A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take? A. Give the dosimeter badge to the oncoming nurse at the end of the shift. × B. Limit family member visits to 30 min per day. ✓ C. Remove soiled linens from the room after each change. × D. Apply a second pair of gloves before touching the client's implant if it dislodges. × Hide Correct Answer and Explanation Explanation Correct Answer: B It should be worn consistently by the nurse caring for the client with the radiation implant to monitor their radiation exposure. Giving it to the oncoming nurse at the end of the shift is not appropriate because it does not provide real-time monitoring of radiation exposure for the nurse during their shift. Family visits should be limited to 30 minutes per day to minimize their exposure. Soiled linens should be kept in the room until the radioactive source is removed to prevent the spread of contamination One should never touch it directly; instead, use long- handled forceps and place it in a lead-lined container for safe disposal. Question 2: Report an Issue Report Wrong Answer A nurse is planning the discharge of a client who had an ischemic stroke. The nurse should ensure that the client is discharged with which of the following types of pharmacologic therapy? A. Opioid analgesic × B. Anticonvulsant × C. Diuretic × D. Antithrombotic ✓ Hide Correct Answer and Explanation Explanation Correct Answer: D Opioid analgesics are used to relieve pain, typically moderate to severe pain. However, they are not routinely indicated as part of discharge therapy for clients who have had an ischemic stroke Anticonvulsants are medications used to prevent or control seizures. They are not typically used as standard discharge medications for ischemic stroke Diuretics are medications that promote diuresis (increased urine production) and are commonly used to manage conditions such as hypertension and congestive heart failure. They are not typically used as standard discharge medications for ischemic stroke Discussion Section A Post here. Submit 0 Pulse Checks No comments ⚙  Sara 

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Antithrombotic medications help to prevent the formation of new clots and keep existing clots from getting larger, which is crucial in the management of patients who have had an ischemic stroke. Question 3: Report an Issue Report Wrong Answer A nurse is teaching a client who has AIDS and wishes to continue self-care at home despite living alone. Which of the following actions by the nurse demonstrates client advocacy? A. Remind the client of the importance of medication adherence. × B. Tell the client to avoid places where there are large crowds of people. × C. Initiate a referral for the client to a home health agency. ✓ D. Instruct the client to avoid eating raw vegetables. × Hide Correct Answer and Explanation Explanation Correct Answer: C Reminding the client about medication adherence is important for the client's health management, but they do not directly advocate for the client's autonomy and support system. While this advice is prudent for reducing infection risk, it may limit the client's social interactions and independence. Advocacy involves balancing health promotion with the client's autonomy and quality of life. This action demonstrates advocacy by ensuring the client has access to necessary support services that can help them maintain independence and receive adequate care in their home environment. Raw vegetables may carry a risk of foodborne infections, which can be more severe for individuals with compromised immune systems, such as those with AIDS. Question 4: Report an Issue Report Wrong Answer A nurse is providing teaching for a client who has diabetes mellitus about the self-administration of insulin. The client has prescriptions for regular and NPH insulins. Which of the Explanation Correct Answer: D Insulin injections are typically administered subcutaneously, which usually requires a 90-degree Discussion Section A Post here. Submit 0 Pulse Checks No comments Discussion Section A Post here. Submit 0 Pulse Checks No comments ⚙  Sara 

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following statements by the client indicates an understanding of the teaching? A. "I will insert the needle at a 15-degree angle." × B. "I will store prefilled syringes in the refrigerator with the needle pointed downward." × C. "I will shake the NPH vial vigorously before drawing up the insulin." × D. "I will draw up the regular insulin into the syringe first." ✓ Hide Correct Answer and Explanation angle (perpendicular) for needle insertion, especially if the person has adequate subcutaneous tissue. Prefilled insulin syringes should be stored with the needle pointing upward to prevent insulin leakage or air bubbles from affecting the accuracy of the dose. NPH (Neutral Protamine Hagedorn) insulin is a suspension and should not be vigorously shaken. Shaking could cause frothing or denaturation of the insulin, affecting its efficacy and consistency. This sequence is important because regular insulin should not be contaminated with NPH insulin, and drawing up regular insulin first helps ensure accurate dosing and prevents mixing of the two insulins prematurely. Question 5: Report an Issue Report Wrong Answer A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line in her left forearm. The client is receiving an antibiotic via intermittent IV bolus every 12 hr. Which of the following actions should the nurse take in managing the client's PICC line? A. Change the transparent membrane dressing daily. × B. Access the catheter using a non-coring needle. × C. Maintain a continuous IV infusion through the PICC line. × D. Flush the catheter with a 0.9% sodium chloride solution after each use. ✓ Hide Correct Answer and Explanation Explanation Correct Answer: D Changing the transparent membrane dressing is typically done every 5 to 7 days, not daily, unless it's soiled or compromised. Accessing the catheter with a non-coring needle is not applicable in this context as PICC lines are already in place and do not require such needles for access. Maintaining a continuous IV infusion is not necessary for a client receiving intermittent IV bolus medication and could increase the risk of complications without providing any benefit in this scenario. This practice is recommended to maintain catheter patency and prevent occlusion. Discussion Section A Post here. Submit 0 Pulse Checks No comments Discussion Section A Post here. Submit 0 Pulse Checks No comments ⚙  Sara 

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