ATI RN
ATI Medsurg Proctored Final Exam Questions
Extract:
Question 1 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 2 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 3 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.
Question 4 of 5
A nurse is assessing a client who reports numbness and pain in his right palm, index finger, and middle finger. The client reports working with a keyboard most of the time while at work. The nurse suspects carpal tunnel syndrome. Which of the following tests should the nurse request that the client perform?
Correct Answer: B
Rationale: The correct answer is B: Phalen's test. Phalen's test is used to assess for carpal tunnel syndrome by having the client flex the wrists and press the backs of the hands together for 1 minute to compress the median nerve. This test reproduces symptoms in individuals with carpal tunnel syndrome due to increased pressure on the median nerve. Tinel's sign (
A) is used to assess for nerve compression, but it is not specific to carpal tunnel syndrome. Rinne's test (
C) is used to assess for hearing loss. Romberg test (
D) is used to assess for balance and proprioception issues.
Choices E, F, and G are not relevant to assessing carpal tunnel syndrome.
Question 5 of 5
A nurse is teaching a class about preventive care to clients who are at risk for acquiring viral hepatitis. Which of the following information should the nurse include in the presentation?
Correct Answer: D
Rationale: The correct answer is D: Food should be prepared with purified water. Hepatitis A virus can be spread through contaminated water or food. Using purified water for food preparation can help prevent the transmission of the virus.
Choice A is incorrect because avoiding foods prepared with tap water alone may not be sufficient to prevent hepatitis.
Choice B is incorrect as there is no vaccination available for hepatitis C.
Choice C is important for general hygiene but may not specifically prevent hepatitis transmission.