ATI RN
ATI Medical Surgical Proctored Exam 2023 With NGN Questions and Correct Answers Questions
Extract:
Question 1 of 5
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Which of the following findings require immediate follow-up?
Correct Answer: B
Rationale: The correct answer is B: Heart rate 110/min and irregular. This finding indicates potential cardiac issues like myocardial infarction. Immediate follow-up is necessary to assess for any life-threatening conditions. The other options are not as urgent. A: Temperature within normal range, C: Respiratory rate slightly elevated but not critical, D: Elevated blood pressure but not as concerning as irregular heart rate.
Question 2 of 5
A nurse is caring for a client who has COPD. Which of the following findings require immediate follow-up?
Correct Answer: D
Rationale: The correct answer is D because tachypnea, productive cough with yellow mucus in a client with COPD can indicate an exacerbation or infection, requiring immediate intervention. A: Orientation is not an urgent concern. B: Restlessness can be due to various reasons and doesn't necessarily indicate an emergency. C: Pupillary reactivity is not relevant to COPD management.
Question 3 of 5
A nurse is caring for a client who is experiencing an exacerbation of heart failure. Which of the following findings indicate potential improvement?
Correct Answer: D
Rationale: The correct answer is D: Potassium 4.3 mEq/L (3.5 to 5 mEq/L). In heart failure exacerbation, potassium levels can be affected due to medications or fluid shifts. A potassium level within the normal range indicates electrolyte balance, which is crucial for cardiac function. Hemoglobin (
Choice
A) and hematocrit (
Choice
B) are indicators of oxygen-carrying capacity and volume status, not directly related to heart failure improvement. White blood cell count (
Choice
C) is not specific to heart failure exacerbation.
Therefore, the correct answer is D as it reflects a positive change in electrolyte balance, essential for cardiac function.
Question 4 of 5
A nurse is caring for a client who has heart failure. Which of the following findings indicate the client is at risk for developing complications?
Correct Answer: A
Rationale: The correct answer is A, dysrhythmias. In heart failure, the heart's inability to pump effectively can lead to electrical disturbances causing dysrhythmias, which can be life-threatening. Dysrhythmias can result in decreased cardiac output, further exacerbating heart failure. Respiratory alkalosis (
B) is not a direct complication of heart failure. Acute kidney injury (
C) can occur due to decreased cardiac output, leading to decreased renal perfusion, but it is not a direct risk factor for complications in heart failure. Fluid volume deficit (
D) is a common finding in heart failure due to fluid retention, but it is not a direct risk for complications like dysrhythmias.
Question 5 of 5
A nurse is providing teaching for a client who has diabetes mellitus about the self-administration of insulin. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale:
Correct
Answer: A - "I will draw up the regular insulin into the syringe first."
Rationale: Drawing up regular insulin before NPH prevents contamination. Regular insulin has a clear appearance, making it easier to detect any contamination. Drawing up NPH first can cause regular insulin to be contaminated if the same syringe is used. This statement demonstrates an understanding of the importance of preventing contamination and following proper insulin administration technique.
Summary of Incorrect
Choices:
B: Shaking the NPH vial vigorously can cause air bubbles, affecting the accuracy of the dose.
C: Storing prefilled syringes in the refrigerator with the needle downward can cause leakage or contamination.
D: Inserting the needle at a 15-degree angle may not be appropriate for insulin injection, which typically requires a 90-degree angle for subcutaneous administration.