ATI RN
ATI Medical Surgical Proctored Exam 2023 With NGN Questions and Correct Answers Questions
Question 1 of 5
A nurse working in an outpatient clinic is planning a community education program about reproductive cancers. The nurse should identify which of the following manifestations as a possible indication of cervical cancer?
Correct Answer: A
Rationale: The correct answer is A: Abnormal vaginal bleeding. This is a possible indication of cervical cancer because it can be a symptom of cervical dysplasia or cervical cancer. Bleeding between periods, after intercourse, or post-menopausal bleeding may indicate cervical cancer. Frequent diarrhea (
B), urinary hesitancy (
C), and unexplained weight gain (
D) are not typically associated with cervical cancer. Diarrhea and urinary hesitancy are more commonly linked to gastrointestinal or urinary issues, while unexplained weight gain may be indicative of hormonal imbalances or other health conditions unrelated to cervical cancer.
Question 2 of 5
A nurse is caring for a client who requires protective isolation following a hematopoietic stem cell transplant. Which of the following interventions should the nurse implement to protect the client from infection?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale:
1. Positive pressure airflow in the client's room helps prevent airborne contaminants from entering, reducing the risk of infection.
2. This intervention creates a controlled environment suitable for clients with compromised immune systems.
3. The positive pressure airflow system pushes air out of the room, minimizing the risk of external pathogens entering.
4. This measure is crucial in protective isolation to protect the client from infections during the vulnerable post-transplant period.
Summary:
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Choice B is not directly related to infection prevention in protective isolation.
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Choice C is important for respiratory infections but is not a primary intervention for protective isolation.
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Choice D is relevant but does not directly address infection prevention measures in protective isolation.
Question 3 of 5
A nurse is planning care for a client who has a new diagnosis of acute pancreatitis. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: The correct answer is B: Maintain the client on NPO status. In acute pancreatitis, the pancreas is inflamed, leading to digestive enzyme release and potential autodigestion of pancreatic tissue. Keeping the client NPO (nothing by mouth) helps rest the pancreas by reducing stimulation of enzyme secretion. This allows the pancreas to heal and decreases the risk of further complications. Administering antihypertensive medications (
A) is not typically a priority for acute pancreatitis. Placing the client in a supine position (
C) may not directly impact the pancreatitis. Monitoring for hypercalcemia (
D) is important in chronic pancreatitis but not typically a primary intervention in the acute phase.
Question 4 of 5
A nurse is caring for a client who has systemic lupus erythematosus. During assessment, which of the following should the nurse expect to find?
Correct Answer: A
Rationale: The correct answer is A: Joint inflammation. Systemic lupus erythematosus (SLE) commonly presents with joint inflammation due to inflammation of the synovial membrane. This can lead to pain, swelling, and stiffness in the joints. The other choices are incorrect because: B: Butterfly rash is a characteristic facial rash seen in SLE, but it is not related to joint involvement. C: Esophagitis is inflammation of the esophagus and is not a common manifestation of SLE. D: Trophil is not a recognized term in relation to SLE or its symptoms.
Question 5 of 5
A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the plasma immediately after thawing. Fresh frozen plasma should be administered promptly after thawing to ensure optimal effectiveness and prevent clotting. Delaying administration can lead to decreased clotting factor activity.
Choice A is incorrect as a larger gauge needle is typically used for plasma transfusions.
Choice B is incorrect because fresh frozen plasma is often indicated for bleeding disorders, so holding the transfusion would be counterproductive.
Choice D is incorrect as fresh frozen plasma is usually infused rapidly, not over 4 hours.