@#()*$*(&@&(*%*&((%UATI
&(*%*&((%UATI
!@#()*$*(&@&(*%*&((%UATI
RN Adult Medical
RN Adult
Surgical
Medical
RN Adult
Online
Surgical
Medical
Practice
Online
Surgical
2024
Practice
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Practice
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ATI RN Adult Medical Surgical Online
Practice 2024 (A+Rated)
A nurse is providing discharge instructions to a client following an upper gastrointestinal
series with barium contrast. Which of the following information should the nurse
provide? - ANS-Increase fluid intake
Rationale: Increasing fluid intake will help to prevent constipation. Therefore, the nurse
should instruct the client to increase fluid intake to facilitate the elimination of the barium
used during the test.
A nurse is caring for a client who has hepatic encephalopathy that is being treated with
lactulose. The client is experiencing excessive stools. Which of the following findings is
an adverse effect of this medication? - ANS-Hypokalemia
Rationale: Lactulose works by stimulating the production of excess stools to rid the body
of excess ammonia. These excessive stools can result in hypokalemia and dehydration.
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? - ANS-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 teaching a client who has a family history of colorectal cancer. To help
mitigate this risk, which of the following dietary alterations should the nurse
recommend? - ANS-Add cabbage to the diet
Rationale: To help reduce the risk for colorectal cancer, the client should consume a diet
that is high in fiber, low in fat, and low in refined carbohydrates. Brassica vegetables,
such as cabbage, cauliflower, and broccoli, are high in fiber.
A home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. Which of the
following neurologic deficits should the nurse expect to find when assessing the client?
(Select all that apply.) - ANS-Visual spatial deficits
@#()*$*(&@&(*%*&((%UATI
&(*%*&((%UATI
!@#()*$*(&@&(*%*&((%UATI
RN Adult Medical
RN Adult
Surgical
Medical
RN Adult
Online
Surgical
Medical
Practice
Online
Surgical
2024
Practice
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Online
2024
Practice
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,@#()*$*(&@&(*%*&((%UATI
&(*%*&((%UATI
!@#()*$*(&@&(*%*&((%UATI
RN Adult Medical
RN Adult
Surgical
Medical
RN Adult
Online
Surgical
Medical
Practice
Online
Surgical
2024
Practice
(A+Rated).pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
Online
2024
Practice
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Left hemianopsia
One-sided neglect
Rationale: Visual spatial deficits is correct. Visual spatial deficits and loss of depth
perception occur secondary to a right-hemispheric stroke.
Left hemianopsia is correct. Left hemianopsia, or blindness in the left half of the
visual field, occurs secondary to a right-hemispheric stroke.
One-sided neglect is correct. One-sided neglect, or an unawareness of the affected
side, occurs secondary to a right-hemispheric stroke.
A nurse is caring for a client who has viral pneumonia. The client's pulse oximeter
readings have fluctuated between 79% and 88% for the last 30 min. Which of the
following oxygen delivery systems should the nurse initiate to provide the highest
concentration of oxygen? - ANS-Nonrebreather mask
Rationale: The nurse should initiate a nonrebreather mask to deliver between 80% to
95% oxygen to the client. A client who has an unstable respiratory status should receive
oxygen via a nonrebreather mask.
A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The
client has dyspnea with a productive cough and is using accessory muscles to breathe.
Which of the following actions should the nurse take first? - ANS-Place the client in
high-Fowler's position
Rationale: The greatest risk to this client is injury from airway obstruction. Therefore, the
priority intervention the nurse should take is to move the client into high-Fowler's
position. High-Fowler's position facilitates lung expansion and improves ventilation and
gas exchange.
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. Which of the following precautions should the nurse include in
the plan of care to prevent a Pseudomonas aeruginosa infection? - ANS-Avoid placing
plants or flowers in the client's room
Rationale: Live plants can harbor P. aeruginosa, and this bacterium can infect burn
wounds and cause life-threatening complications. The nurse should ensure no one
brings live plants or flowers into the client's room.
An older adult client is brought to an emergency department by a family member. Which
of the following assessment findings should cause the nurse to suspect that the client
has hypertonic dehydration? - ANS-Urine specific gravity 1.045
Rationale: A urine specific gravity greater than 1.030 indicates a decrease in urine
volume and an increase in osmolarity, which is a manifestation of hypertonic
@#()*$*(&@&(*%*&((%UATI
&(*%*&((%UATI
!@#()*$*(&@&(*%*&((%UATI
RN Adult Medical
RN Adult
Surgical
Medical
RN Adult
Online
Surgical
Medical
Practice
Online
Surgical
2024
Practice
(A+Rated).pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
Online
2024
Practice
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2024 (A+Rated).pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/d
,@#()*$*(&@&(*%*&((%UATI
&(*%*&((%UATI
!@#()*$*(&@&(*%*&((%UATI
RN Adult Medical
RN Adult
Surgical
Medical
RN Adult
Online
Surgical
Medical
Practice
Online
Surgical
2024
Practice
(A+Rated).pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
Online
2024
Practice
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dehydration.
A nurse in an emergency department is reviewing the provider's prescriptions for a
client who sustained a rattlesnake bite to the lower leg. Which of the following
prescriptions should the nurse expect? - ANS-Administer an opioid analgesic to the
client
Rationale: The nurse should expect a prescription for an opioid analgesic to promote
comfort following a rattlesnake bite.
A nurse is teaching a young adult client how to perform testicular self-examination.
Which of the following instructions should the nurse include? - ANS-Roll each testicle
between the thumb and fingers
Rationale: The nurse should instruct the client to roll each testicle horizontally between
the thumbs and fingers to feel for any lumps deep in the center of the testicle.
A nurse is assessing a client who has had a suspected stroke. The nurse should place
the priority on which of the following findings? - ANS-Dysphagia
Rationale: Dysphagia indicates that this client is at greatest risk for aspiration due to
impaired sensation and function within the oral cavity. Therefore, the nurse should place
priority on this finding.
A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new
prescription for metformin. Which of the following statements by the client indicates an
understanding of the teaching? - ANS-"I should take this medication with a meal."
Rationale: The client should take metformin with or immediately following meals to
improve absorption and to minimize gastrointestinal distress.
A nurse is teaching a client who has venous insufficiency about self-care. Which of the
following statements should the nurse identify as an indication that the client
understands the teaching? - ANS-"I will wear clean graduated compression stockings
every day."
Rationale: The client should apply a clean pair of graduated compression stockings
each day and clean soiled stockings with mild detergent and warm water by hand.
A nurse is assessing a client who has acute cholecystitis. Which of the following
findings is the nurse's priority? - ANS-Tachycardia
Rationale: When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority finding is tachycardia. Tachycardia is a manifestation
of biliary colic, which can lead to shock. The nurse should position the head of the
client's bed flat and report this finding immediately to the provider.
@#()*$*(&@&(*%*&((%UATI
&(*%*&((%UATI
!@#()*$*(&@&(*%*&((%UATI
RN Adult Medical
RN Adult
Surgical
Medical
RN Adult
Online
Surgical
Medical
Practice
Online
Surgical
2024
Practice
(A+Rated).pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
Online
2024
Practice
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2024 (A+Rated).pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/d
&(*%*&((%UATI
!@#()*$*(&@&(*%*&((%UATI
RN Adult Medical
RN Adult
Surgical
Medical
RN Adult
Online
Surgical
Medical
Practice
Online
Surgical
2024
Practice
(A+Rated).pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
Online
2024
Practice
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ATI RN Adult Medical Surgical Online
Practice 2024 (A+Rated)
A nurse is providing discharge instructions to a client following an upper gastrointestinal
series with barium contrast. Which of the following information should the nurse
provide? - ANS-Increase fluid intake
Rationale: Increasing fluid intake will help to prevent constipation. Therefore, the nurse
should instruct the client to increase fluid intake to facilitate the elimination of the barium
used during the test.
A nurse is caring for a client who has hepatic encephalopathy that is being treated with
lactulose. The client is experiencing excessive stools. Which of the following findings is
an adverse effect of this medication? - ANS-Hypokalemia
Rationale: Lactulose works by stimulating the production of excess stools to rid the body
of excess ammonia. These excessive stools can result in hypokalemia and dehydration.
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? - ANS-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 teaching a client who has a family history of colorectal cancer. To help
mitigate this risk, which of the following dietary alterations should the nurse
recommend? - ANS-Add cabbage to the diet
Rationale: To help reduce the risk for colorectal cancer, the client should consume a diet
that is high in fiber, low in fat, and low in refined carbohydrates. Brassica vegetables,
such as cabbage, cauliflower, and broccoli, are high in fiber.
A home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. Which of the
following neurologic deficits should the nurse expect to find when assessing the client?
(Select all that apply.) - ANS-Visual spatial deficits
@#()*$*(&@&(*%*&((%UATI
&(*%*&((%UATI
!@#()*$*(&@&(*%*&((%UATI
RN Adult Medical
RN Adult
Surgical
Medical
RN Adult
Online
Surgical
Medical
Practice
Online
Surgical
2024
Practice
(A+Rated).pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
Online
2024
Practice
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2024 (A+Rated).pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/d
,@#()*$*(&@&(*%*&((%UATI
&(*%*&((%UATI
!@#()*$*(&@&(*%*&((%UATI
RN Adult Medical
RN Adult
Surgical
Medical
RN Adult
Online
Surgical
Medical
Practice
Online
Surgical
2024
Practice
(A+Rated).pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
Online
2024
Practice
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2024 (A+Rated).pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/d
Left hemianopsia
One-sided neglect
Rationale: Visual spatial deficits is correct. Visual spatial deficits and loss of depth
perception occur secondary to a right-hemispheric stroke.
Left hemianopsia is correct. Left hemianopsia, or blindness in the left half of the
visual field, occurs secondary to a right-hemispheric stroke.
One-sided neglect is correct. One-sided neglect, or an unawareness of the affected
side, occurs secondary to a right-hemispheric stroke.
A nurse is caring for a client who has viral pneumonia. The client's pulse oximeter
readings have fluctuated between 79% and 88% for the last 30 min. Which of the
following oxygen delivery systems should the nurse initiate to provide the highest
concentration of oxygen? - ANS-Nonrebreather mask
Rationale: The nurse should initiate a nonrebreather mask to deliver between 80% to
95% oxygen to the client. A client who has an unstable respiratory status should receive
oxygen via a nonrebreather mask.
A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The
client has dyspnea with a productive cough and is using accessory muscles to breathe.
Which of the following actions should the nurse take first? - ANS-Place the client in
high-Fowler's position
Rationale: The greatest risk to this client is injury from airway obstruction. Therefore, the
priority intervention the nurse should take is to move the client into high-Fowler's
position. High-Fowler's position facilitates lung expansion and improves ventilation and
gas exchange.
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. Which of the following precautions should the nurse include in
the plan of care to prevent a Pseudomonas aeruginosa infection? - ANS-Avoid placing
plants or flowers in the client's room
Rationale: Live plants can harbor P. aeruginosa, and this bacterium can infect burn
wounds and cause life-threatening complications. The nurse should ensure no one
brings live plants or flowers into the client's room.
An older adult client is brought to an emergency department by a family member. Which
of the following assessment findings should cause the nurse to suspect that the client
has hypertonic dehydration? - ANS-Urine specific gravity 1.045
Rationale: A urine specific gravity greater than 1.030 indicates a decrease in urine
volume and an increase in osmolarity, which is a manifestation of hypertonic
@#()*$*(&@&(*%*&((%UATI
&(*%*&((%UATI
!@#()*$*(&@&(*%*&((%UATI
RN Adult Medical
RN Adult
Surgical
Medical
RN Adult
Online
Surgical
Medical
Practice
Online
Surgical
2024
Practice
(A+Rated).pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
Online
2024
Practice
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2024 (A+Rated).pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/d
,@#()*$*(&@&(*%*&((%UATI
&(*%*&((%UATI
!@#()*$*(&@&(*%*&((%UATI
RN Adult Medical
RN Adult
Surgical
Medical
RN Adult
Online
Surgical
Medical
Practice
Online
Surgical
2024
Practice
(A+Rated).pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
Online
2024
Practice
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2024 (A+Rated).pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/d
dehydration.
A nurse in an emergency department is reviewing the provider's prescriptions for a
client who sustained a rattlesnake bite to the lower leg. Which of the following
prescriptions should the nurse expect? - ANS-Administer an opioid analgesic to the
client
Rationale: The nurse should expect a prescription for an opioid analgesic to promote
comfort following a rattlesnake bite.
A nurse is teaching a young adult client how to perform testicular self-examination.
Which of the following instructions should the nurse include? - ANS-Roll each testicle
between the thumb and fingers
Rationale: The nurse should instruct the client to roll each testicle horizontally between
the thumbs and fingers to feel for any lumps deep in the center of the testicle.
A nurse is assessing a client who has had a suspected stroke. The nurse should place
the priority on which of the following findings? - ANS-Dysphagia
Rationale: Dysphagia indicates that this client is at greatest risk for aspiration due to
impaired sensation and function within the oral cavity. Therefore, the nurse should place
priority on this finding.
A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new
prescription for metformin. Which of the following statements by the client indicates an
understanding of the teaching? - ANS-"I should take this medication with a meal."
Rationale: The client should take metformin with or immediately following meals to
improve absorption and to minimize gastrointestinal distress.
A nurse is teaching a client who has venous insufficiency about self-care. Which of the
following statements should the nurse identify as an indication that the client
understands the teaching? - ANS-"I will wear clean graduated compression stockings
every day."
Rationale: The client should apply a clean pair of graduated compression stockings
each day and clean soiled stockings with mild detergent and warm water by hand.
A nurse is assessing a client who has acute cholecystitis. Which of the following
findings is the nurse's priority? - ANS-Tachycardia
Rationale: When using the urgent vs. nonurgent approach to client care, the nurse
should determine that the priority finding is tachycardia. Tachycardia is a manifestation
of biliary colic, which can lead to shock. The nurse should position the head of the
client's bed flat and report this finding immediately to the provider.
@#()*$*(&@&(*%*&((%UATI
&(*%*&((%UATI
!@#()*$*(&@&(*%*&((%UATI
RN Adult Medical
RN Adult
Surgical
Medical
RN Adult
Online
Surgical
Medical
Practice
Online
Surgical
2024
Practice
(A+Rated).pdfhttps://www.stuvia.com/user/docstudent96https://www.stuvia.com/user/docstudent96
Online
2024
Practice
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