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ATI RN · ATI Medical Surgical · ATI Detailed Answer Key Medical Surgical

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

What precaution should a nurse take to minimize the risk of death when using potassium chloride to flush a lock or central venous catheter?

A. Use a dilute form of potassium chloride before flushing locks.
B. Warm the potassium chloride before flushing locks.
C. Document on the client's chart.
D. Ask the client to implement the instruction.

Expert Explanatory Rationale

Correct Answer: Use a dilute form of potassium chloride before flushing locks.

Question 2 of 5

Which of the following would be appropriate to delegate to the nursing assistant?

A. Assist the child to remove outer clothing
B. Advise the parent to use acetaminophen instead of aspirin
C. Explain the need for cool fluids
D. Prepare and administer a tepid bath

Expert Explanatory Rationale

Correct Answer: Assist the child to remove outer clothing

Question 3 of 5

A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?

A. Check the tubing connections for leaks.
B. Check the suction control outlet on the wall.
C. Clamp the chest tube.
D. Continue to monitor the client's respiratory status.

Expert Explanatory Rationale

Correct Answer: Check the tubing connections for leaks.

Question 4 of 5

A client has a new diagnosis of myasthenia gravis. For which of the following manifestations should the nurse monitor?

A. Confusion
B. Weakness
C. Increased intracranial pressure
D. Increased urinary output

Expert Explanatory Rationale

Correct Answer: Weakness

Question 5 of 5

A client has returned from the surgical suite following surgery for a fractured mandible with intermaxillary fixation. Which of the following actions is the priority for the nurse to take?

A. Prevent aspiration.
B. Ensure adequate nutrition.
C. Promote oral hygiene.
D. Relieve the client's pain.

Expert Explanatory Rationale

Correct Answer: Prevent aspiration.

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