ATI RN
ATI RN Custom Exams Set 1 Questions
Question 1 of 5
After a pericardiocentesis, what interventions should the nurse implement?
Correct Answer: D
Rationale: After a pericardiocentesis, the nurse should implement multiple interventions to monitor the client's condition closely. Monitoring vital signs every 15 minutes for the first hour is crucial to detect any immediate changes that may indicate complications. Evaluating the client's cardiac rhythm is important to identify any arrhythmias that may occur due to the procedure. Recording the amount of fluid removed is essential to calculate fluid balance and ensure accurate monitoring of the client's status. Therefore, all the interventions mentioned are necessary to detect and manage any potential issues post-pericardiocentesis. Choices A, B, and C are all essential components of post-procedural care and should be implemented to ensure the client's safety and well-being.
Question 2 of 5
Which instructions should the nurse discuss with the client diagnosed with Raynaud's phenomenon?
Correct Answer: C
Rationale: The correct instruction for a client diagnosed with Raynaud's phenomenon is to wear extra warm clothing during cold exposure. This is essential in preventing vasospasms triggered by cold temperatures, which can worsen symptoms of Raynaud's phenomenon. Choice A is incorrect because exacerbations can occur in any season. Choice B is irrelevant and not directly related to managing Raynaud's phenomenon. Choice D is also incorrect as sunlight exposure does not significantly impact Raynaud's phenomenon.
Question 3 of 5
The nurse is administering a beta blocker to the client diagnosed with essential hypertension. Which data would cause the nurse to question administering the medication?
Correct Answer: D
Rationale: The correct answer is D. A beta blocker should be withheld if the apical pulse is below 60, as it can further decrease the heart rate. Choice A is not a reason to question administering a beta blocker as the blood pressure is within normal range. Choice B is not directly related to the administration of a beta blocker. Choice C may indicate a potential adverse effect of another medication, but it does not specifically warrant questioning the administration of the beta blocker.
Question 4 of 5
The nurse is caring for a client in a sickle cell crisis. Which is the pain regimen of choice to relieve the pain?
Correct Answer: D
Rationale: In the case of a client experiencing a sickle cell crisis, the correct pain regimen of choice to relieve the pain is option D, which is Morphine, a narcotic analgesic, to be administered every two to three hours PRN. Sickle cell crisis is known for causing excruciating pain, and morphine, a potent opioid analgesic, is the most effective medication to manage severe pain associated with this condition. Option A, frequent aspirin and a non-narcotic analgesic, is incorrect because aspirin is not recommended due to its potential to exacerbate bleeding tendencies in individuals with sickle cell disease. Option B, Motrin (ibuprofen), is an NSAID that may not provide sufficient pain relief for the intense pain experienced during a sickle cell crisis. Option C, Demerol (meperidine), is not the ideal choice as meperidine is associated with potential toxic metabolites and is generally avoided in the management of sickle cell crisis-related pain. It is crucial for nurses to understand the appropriate pain management strategies in sickle cell crises to ensure optimal comfort and well-being for their clients.
Question 5 of 5
When assessing the integumentary system of a client with anorexia nervosa, which finding would support the diagnosis?
Correct Answer: D
Rationale: The correct answer is D: Dry, brittle hair. Dry, brittle hair is a common sign of malnutrition, often seen in clients with anorexia nervosa. Preoccupation with calories (choice A) is more related to the psychological aspect of anorexia rather than a physical finding. Thick body hair (choice B) is not typically associated with anorexia nervosa. A sore tongue (choice C) can be seen in conditions like vitamin deficiencies or oral health issues but is not specific to anorexia nervosa.