ATI RN
RN ATI Adult Medsurg Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a group of clients. For which of the following clients should the nurse make a referral to palliative care?
Correct Answer: B
Rationale: The correct answer is B because the client with Parkinson's disease whose medications are no longer effective may benefit from the specialized care and symptom management provided by palliative care. Palliative care focuses on improving quality of life for individuals with serious illnesses by addressing physical, emotional, and spiritual needs. Referral is appropriate when symptoms are not adequately controlled.
Choices A, C, and D do not require palliative care as they involve routine treatments or procedures that do not necessarily indicate the need for specialized palliative services.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for cephalexin oral suspension. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will keep the medication refrigerated." This is correct because cephalexin oral suspension should be stored in the refrigerator to maintain its potency and stability. Storing it at room temperature may lead to degradation of the medication.
Choice B is incorrect as cephalexin should be taken as prescribed, not mixed with juice.
Choice C is incorrect as the full course of antibiotics should be completed even if the client feels better.
Choice D is incorrect as cephalexin can be taken with or without food.
Question 3 of 5
A nurse is caring for a client who has acute kidney injury and a potassium level of 6.5 mEq/L. Which of the following ECG changes should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Peaked T waves. In hyperkalemia (high potassium level), the myocardium becomes more excitable, leading to changes in the ECG. Peaked T waves are a classic sign of hyperkalemia, indicating early stages of cardiac involvement. Flattened T waves (choice
A) are associated with hypokalemia. Prolonged PR interval (choice
C) and ST segment depression (choice
D) are not typically seen in hyperkalemia.
Question 4 of 5
A nurse is caring for a client who is hemorrhaging and hypotensive from esophageal variceal bleeding. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Verify that the client has adequate IV access. This is the priority action because the client is hypotensive from hemorrhaging, indicating a need for immediate fluid resuscitation to stabilize their condition. Without adequate IV access, the nurse cannot administer life-saving fluids and medications. Administering a vasopressor (
A) or preparing for endoscopic intervention (
D) may be necessary later but addressing the hypotension is the priority. Placing the client in Trendelenburg position (
C) is not recommended as it can increase intracranial pressure.
Question 5 of 5
A nurse is assessing a client who has a new diagnosis of diabetes mellitus. The nurse should identify that which of the following findings is a manifestation of hyperglycemia?
Correct Answer: B
Rationale:
Correct
Answer: B - Increased thirst
Rationale: Hyperglycemia results in elevated blood glucose levels, which leads to osmotic diuresis and fluid loss, causing increased thirst. Sweating (
A) is more commonly associated with hypoglycemia. Shakiness (
C) is a symptom of hypoglycemia due to low blood sugar levels. Decreased urination (
D) is not a typical manifestation of hyperglycemia as it is more commonly associated with conditions like dehydration or kidney issues.