ATI RN
ATI Medsurg Proctored Final Exam Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for uterine cancer. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Artificial lubrication can be used to treat vaginal itching and dryness. The rationale for this is that after a total abdominal hysterectomy and bilateral salpingo-oophorectomy, there is a decrease in estrogen levels, leading to vaginal dryness and itching. Using artificial lubrication can help alleviate these symptoms and improve comfort.
Choice B is incorrect as there is no need to avoid sexual activity for 6 months unless specifically advised by the healthcare provider.
Choice C is incorrect as there should not be vaginal bleeding after a total abdominal hysterectomy.
Choice D is incorrect as using a diaphragm for contraception is not recommended after a hysterectomy.
Question 2 of 5
A nurse at a rehabilitation center is planning care for a client who had a left hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following goals should the nurse include in the client's rehabilitation program?
Correct Answer: A
Rationale: The correct answer is A: Establish the ability to communicate effectively. For a client who had a left hemispheric CVA, the left hemisphere is responsible for language and speech functions.
Therefore, focusing on establishing effective communication is crucial in the rehabilitation program. It targets the specific deficits caused by the CVA and aims to improve the client's quality of life. Increasing mobility to a normal level (
B) is important but may not be the priority in this case. Promoting independent living without assistance (
C) is a broad goal that may encompass various aspects beyond communication. Restoring full visual function (
D) is not directly related to a left hemispheric CVA.
Question 3 of 5
A nurse is teaching a client about the causes of osteoporosis. The nurse should include which of the following types of medication therapy as a risk factor for osteoporosis?
Correct Answer: C
Rationale: The correct answer is C: Steroids. Steroids, specifically glucocorticoids, are known to increase the risk of osteoporosis by decreasing bone formation and increasing bone resorption. Long-term use of steroids can lead to bone loss, making individuals more susceptible to fractures. Thyroid hormones (
A) do not directly cause osteoporosis. Antihypertensives (
B) and insulin (
D) are not associated with increased risk of osteoporosis.
Question 4 of 5
A nurse is teaching a newly licensed nurse about gynecological examination. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because the urethral orifice is located between the clitoris and the vaginal opening, so separating the labia minora allows for proper visualization and assessment. This step ensures accurate examination of the urethral opening for signs of infection or abnormalities. Palpating the cervix first (
B) is incorrect as it should be done after inspecting the external genitalia. Choosing not to inspect the external genitalia (
C) is incorrect as it is an essential part of the gynecological examination. Assessing the perineum after the vaginal examination (
D) is incorrect as the perineum should be assessed before the vaginal examination to evaluate for any abnormalities or injuries.
Question 5 of 5
A nurse is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?
Correct Answer: B
Rationale: The correct answer is B: Prominent U wave. Hypokalemia, or low potassium levels, can cause the U wave to become more prominent on an EKG strip. This is due to delayed repolarization of the ventricles. A flat T wave (choice
A) is typically associated with ischemia or infarction. ST elevation (choice
C) is often seen in conditions like myocardial infarction. A wide QRS complex (choice
D) is indicative of conduction abnormalities.
Choices E, F, and G are not relevant to the interpretation of hypokalemia on an EKG strip.