ATI RN
RN ATI Adult Medsurg Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has end-stage kidney disease. The clients adult child asks the nurse about becoming a living kidney donor for their parent. Which of the following conditions in the childs medical history should the nurse identify as a contraindication to the procedure?
Correct Answer: C
Rationale: The correct answer is C: Hypertension. Hypertension is a contraindication for kidney donation due to the increased risk of kidney disease and complications post-donation. High blood pressure can impair kidney function and increase the risk of cardiovascular events. Amputation (
A), osteoarthritis (
B), and primary glaucoma (
D) are not contraindications for kidney donation as they do not directly impact kidney function or pose significant risks for the donor.
Question 2 of 5
A nurse is caring for a 75-year-old client who is admitted to the medical-surgical unit. Which of the following findings indicate the client is most likely experiencing deep vein thrombosis (DVT)?
Correct Answer: A
Rationale: The correct answer is A. Unilateral right lower extremity swelling and warmth below the knee are classic signs of deep vein thrombosis (DVT). The swelling occurs due to blood clot formation, leading to impaired venous return and warmth due to inflammation.
Choice B is incorrect because pain level alone is not a specific indicator of DVT.
Choice C is incorrect as ambulating with assistance does not directly relate to DVT.
Choice D is incorrect as not wearing sequential compression devices does not definitively indicate DVT.
Question 3 of 5
A nurse is providing preoperative teaching to an older adult client who is scheduled for surgery. Which of the following actions should the nurse take to promote learning?
Correct Answer: B
Rationale: The correct answer is B: Connect new information with the client's past experiences. This is effective because it helps the client relate the new information to what they already know, making it easier to understand and remember. By linking the new information to familiar experiences, the client is more likely to retain the information. Speaking loudly (
A) may be unnecessary and could be perceived as patronizing. Presenting information using abstract concepts (
C) can confuse the client, especially an older adult. Using a 12-point font (
D) may aid readability but does not directly promote learning.
Question 4 of 5
A nurse is admitting an older adult client who is transferring from another facility. The nurse notes pressure ulcers on the clients coccyx and abrasions around both wrists. Which of the following actions should the nurse take to address suspicions of elder abuse?
Correct Answer: D
Rationale:
Correct
Answer: D - Privately interview the client about the injuries.
Rationale:
1. As a healthcare provider, the nurse must prioritize the well-being and safety of the client.
2. Privately interviewing the client allows for a confidential conversation to gather information directly from the client.
3. This approach respects the client's autonomy and confidentiality.
4. It enables the nurse to assess the situation, gather more details, and determine if further actions are needed to address the suspected elder abuse.
5. Notifying risk management (
A) is important but should come after gathering information from the client.
6. Informing the transferring agency (
B) may not address the immediate concern of potential abuse.
7. Contacting the family (
C) may not be appropriate if they are involved in the abuse.
8. Failing to interview the client may result in a missed opportunity to address the issue effectively.
Summary:
Option D is correct as it prioritizes the client's well-being, respects autonomy, and
Question 5 of 5
A nurse is assessing a client who has Cushings syndrome. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Osteoporosis. In Cushing's syndrome, excess cortisol weakens bones, leading to osteoporosis. B: Hypertension is common in Cushing's due to cortisol's effects on blood vessels. C: Weight gain, not loss, is typically seen in Cushing's due to cortisol-induced fat redistribution. D: Hyperglycemia, not hypoglycemia, is common due to cortisol's role in glucose metabolism. E, F, G are irrelevant. In summary, osteoporosis is expected due to cortisol's impact on bone health, while the other options are not typical findings in Cushing's syndrome.