1/6/24, 2:31 PM ATI RN Adult Medical Surgical 2023 FOR NGN FORM A,B,C
ATI RN ADULT MEDICAL
SURGERY 2023 FOR NGN FORM
A, B&C (100% VERIFIED)
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A
new bag is not available when the current infusion is nearly completed. Which of
the following actions should the nurse take? - ANSWER- Administer dextrose
10% in water until the new bag arrives.
RATIONALE: TPN solutions have a high concentration of dextrose. Therefore, if
a TPN solution is temporarily unavailable, the nurse should administer dextrose
10% or 20% in water to avoid a precipitous drop in the client's blood glucose level.
A nurse is providing teaching to a client who has hypothyroidism and is receiving
levothyroxine. The nurse should instruct the client that which of the following
supplements can interfere with the effectiveness of the medication? - ANSWER-
Calcium
RATIONALE: Calcium limits the development of osteoporosis in clients who are
postmenopausal and works as an antacid. Calcium supplements can interfere with
the metabolism of a number of medications, including levothyroxine. The nurse
should instruct the client to avoid taking calcium within 4 hr of levothyroxine
administration.
A nurse is caring for a client who has emphysema and is receiving mechanical
ventilation. The client appears anxious and restless, and the high-pressure alarm is
sounding. Which of the following actions should the nurse take first? - ANSWER-
Instruct the client to allow the machine to breathe for them.
RATIONALE: When providing client care, the nurse should first use the least
restrictive intervention. Therefore, the first action the nurse should take is to
provide verbal instructions and emotional support to help the client relax and allow
the ventilator to work. Clients can exhibit anxiety and restlessness when trying to
"fight the ventilator."
A nurse is caring for a client who has a prescription for enalapril. The nurse should
identify which of the following findings as an adverse effect of the medication? -
ANSWER- Orthostatic hypotension
RATIONALE: The nurse should identify that dilation of arteries and veins causes
orthostatic hypotension, which is an adverse effect of enalapril.
A nurse is caring for a client who has a stage III pressure injury. Which of the
following findings contributes to delayed wound healing? - ANSWERUrine
output 25 mL/hr
about:blank 1/11
, 1/6/24, 2:31 PM ATI RN Adult Medical Surgical 2023 FOR NGN FORM A,B,C
RATIONALE: Urinary output reflects fluid status. Inadequate urine output can
indicate dehydration, which can delay wound healing.
A nurse is providing teaching to an older adult client who has cancer and a new
prescription for an opioid analgesic for pain management. Which of the following
information should the nurse include in the teaching? - ANSWER- "You should
void every 4 hours to decrease the risk of urinary retention."
RATIONALE: The nurse should instruct the client to void at least every 4 hr to
decrease the risk of urinary retention, which is an adverse effect of opioid
analgesics.
A nurse is caring for a client who has portal hypertension. The client is vomiting
blood mixed with food after a meal. Which of the following actions should the
nurse take first? - ANSWER- Obtain vital signs.
RATIONALE: The first action the nurse should take using the nursing process is
to assess the client's vital signs. A client who has portal hypertension can develop
esophageal varices, which are fragile and can rupture, resulting in large amounts of
blood loss and shock. Obtaining vital signs provides information about the client's
condition that can contribute to decision making.
A nurse at a provider's office is caring for a client who is 2 weeks postoperative
following a gastrectomyA nurse is providing teaching for the client. Which of the
following instructions should the nurse include? - ANSWER- Avoid drinking
fluids with meals
Eat several small meals per day
Consume high-protein snacks
Avoid highly seasoned foods
RATIONALE: Maintain a high carbohydrate intake is incorrect. Dumping
syndrome requires a low carbohydrate diet because of reactive hypoglycemia. Eat
five servings of fresh fruit per day is incorrect. The client should limit intake to
three servings of unsweetened cooked or canned fruit per day.
Avoid drinking fluids with meals is correct. The nurse should instruct the client to
drink fluids 30 min before or after meals.
Eat several small meals per day is correct. The nurse should instruct the client to
eat several small, frequent meals instead of three large meals per day.
Consume high-protein snacks is correct. The client should eat snacks that are high
in protein and low in carbohydrates to prevent the gastric food boluses and reactive
hypoglycemia in dumping syndrome.
Avoid highly seasoned foods is correct. The nurse should instruct the client to
avoid excessive amounts of spices and salt.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of
the following findings should the nurse identify as a component of Cushing's triad?
- ANSWER- Bradycardia
RATIONALE: A client who has increased intracranial pressure from a traumatic
brain injury can develop bradycardia, which is one component of Cushing's triad.
The other components of Cushing's triad are severe hypertension and a widened
pulse pressure.
A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following client statements indicates the client is successfully coping
about:blank 2/11
ATI RN ADULT MEDICAL
SURGERY 2023 FOR NGN FORM
A, B&C (100% VERIFIED)
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A
new bag is not available when the current infusion is nearly completed. Which of
the following actions should the nurse take? - ANSWER- Administer dextrose
10% in water until the new bag arrives.
RATIONALE: TPN solutions have a high concentration of dextrose. Therefore, if
a TPN solution is temporarily unavailable, the nurse should administer dextrose
10% or 20% in water to avoid a precipitous drop in the client's blood glucose level.
A nurse is providing teaching to a client who has hypothyroidism and is receiving
levothyroxine. The nurse should instruct the client that which of the following
supplements can interfere with the effectiveness of the medication? - ANSWER-
Calcium
RATIONALE: Calcium limits the development of osteoporosis in clients who are
postmenopausal and works as an antacid. Calcium supplements can interfere with
the metabolism of a number of medications, including levothyroxine. The nurse
should instruct the client to avoid taking calcium within 4 hr of levothyroxine
administration.
A nurse is caring for a client who has emphysema and is receiving mechanical
ventilation. The client appears anxious and restless, and the high-pressure alarm is
sounding. Which of the following actions should the nurse take first? - ANSWER-
Instruct the client to allow the machine to breathe for them.
RATIONALE: When providing client care, the nurse should first use the least
restrictive intervention. Therefore, the first action the nurse should take is to
provide verbal instructions and emotional support to help the client relax and allow
the ventilator to work. Clients can exhibit anxiety and restlessness when trying to
"fight the ventilator."
A nurse is caring for a client who has a prescription for enalapril. The nurse should
identify which of the following findings as an adverse effect of the medication? -
ANSWER- Orthostatic hypotension
RATIONALE: The nurse should identify that dilation of arteries and veins causes
orthostatic hypotension, which is an adverse effect of enalapril.
A nurse is caring for a client who has a stage III pressure injury. Which of the
following findings contributes to delayed wound healing? - ANSWERUrine
output 25 mL/hr
about:blank 1/11
, 1/6/24, 2:31 PM ATI RN Adult Medical Surgical 2023 FOR NGN FORM A,B,C
RATIONALE: Urinary output reflects fluid status. Inadequate urine output can
indicate dehydration, which can delay wound healing.
A nurse is providing teaching to an older adult client who has cancer and a new
prescription for an opioid analgesic for pain management. Which of the following
information should the nurse include in the teaching? - ANSWER- "You should
void every 4 hours to decrease the risk of urinary retention."
RATIONALE: The nurse should instruct the client to void at least every 4 hr to
decrease the risk of urinary retention, which is an adverse effect of opioid
analgesics.
A nurse is caring for a client who has portal hypertension. The client is vomiting
blood mixed with food after a meal. Which of the following actions should the
nurse take first? - ANSWER- Obtain vital signs.
RATIONALE: The first action the nurse should take using the nursing process is
to assess the client's vital signs. A client who has portal hypertension can develop
esophageal varices, which are fragile and can rupture, resulting in large amounts of
blood loss and shock. Obtaining vital signs provides information about the client's
condition that can contribute to decision making.
A nurse at a provider's office is caring for a client who is 2 weeks postoperative
following a gastrectomyA nurse is providing teaching for the client. Which of the
following instructions should the nurse include? - ANSWER- Avoid drinking
fluids with meals
Eat several small meals per day
Consume high-protein snacks
Avoid highly seasoned foods
RATIONALE: Maintain a high carbohydrate intake is incorrect. Dumping
syndrome requires a low carbohydrate diet because of reactive hypoglycemia. Eat
five servings of fresh fruit per day is incorrect. The client should limit intake to
three servings of unsweetened cooked or canned fruit per day.
Avoid drinking fluids with meals is correct. The nurse should instruct the client to
drink fluids 30 min before or after meals.
Eat several small meals per day is correct. The nurse should instruct the client to
eat several small, frequent meals instead of three large meals per day.
Consume high-protein snacks is correct. The client should eat snacks that are high
in protein and low in carbohydrates to prevent the gastric food boluses and reactive
hypoglycemia in dumping syndrome.
Avoid highly seasoned foods is correct. The nurse should instruct the client to
avoid excessive amounts of spices and salt.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of
the following findings should the nurse identify as a component of Cushing's triad?
- ANSWER- Bradycardia
RATIONALE: A client who has increased intracranial pressure from a traumatic
brain injury can develop bradycardia, which is one component of Cushing's triad.
The other components of Cushing's triad are severe hypertension and a widened
pulse pressure.
A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following client statements indicates the client is successfully coping
about:blank 2/11
