ATI RN
ATI Medsurg Proctored Final Exam Questions
Extract:
Question 1 of 5
A home health nurse assesses an older adult with vision loss due to glaucoma. What is a safety hazard?
Correct Answer: B
Rationale: The correct answer is B: Presence of scatter rugs in the kitchen. Scatter rugs pose a tripping hazard for individuals with vision loss, especially in areas like the kitchen where spills and slippery surfaces are common. The other choices are incorrect because: A - Bright overhead lighting can actually be beneficial for those with vision loss by improving visibility; C - Using contrasting colors can aid in distinguishing objects and pathways; D - Wearing slip-resistant shoes can help prevent falls.
Question 2 of 5
A nurse is preparing a client for radiation after a mastectomy. What adverse effect should be expected?
Correct Answer: C
Rationale: The correct answer is C: Fatigue. Radiation therapy often causes fatigue due to its impact on healthy cells surrounding the treatment area. This can result in decreased energy levels and overall tiredness. Alopecia (
A) is more commonly associated with chemotherapy. Diarrhea (
B) is a potential side effect of certain chemotherapy drugs or radiation to the abdominal area. Weight gain (
D) is not a typical adverse effect of radiation therapy.
Question 3 of 5
A client reports skin dryness, redness, and scaling after radiation. What should the nurse advise?
Correct Answer: A
Rationale: The correct answer is A: Apply hydrating lotions. After radiation, skin can become dry and irritated. Hydrating lotions help to moisturize the skin and reduce dryness, redness, and scaling. They provide a protective barrier and promote skin healing. Advising the client to apply hydrating lotions is essential in maintaining skin integrity post-radiation.
Choice B: Scrubbing the area vigorously can further damage the skin and exacerbate irritation.
Choice C: Covering the area with adhesive bandages can trap moisture and lead to skin maceration.
Choice D: Avoiding moisturizing the skin can worsen dryness and discomfort.
Question 4 of 5
A nurse assesses a client in skeletal traction. What indicates infection at the pin sites?
Correct Answer: B
Rationale: The correct answer is B: Fever. Infection at the pin sites in skeletal traction commonly presents with systemic signs like fever. Fever is a typical response to infection as the body tries to fight off the invading pathogens. Pallor, bradycardia, and elevated blood pressure are not specific indicators of infection at pin sites. Pallor may indicate poor perfusion, bradycardia is a slow heart rate which is not typically associated with infection, and elevated blood pressure can be a response to various stressors but not a specific sign of infection at pin sites. In summary, fever is the most reliable indicator of infection at pin sites due to its systemic nature.
Question 5 of 5
A nurse is caring for a postoperative client. Which procedure places the client at highest risk for DVT?
Correct Answer: B
Rationale: The correct answer is B: Hip arthroplasty. This procedure involves prolonged immobility, causing blood stasis and increasing the risk of deep vein thrombosis (DVT). The reduced blood flow in the legs can lead to clot formation. Appendectomy (
A), cholecystectomy (
C), and tonsillectomy (
D) are not typically associated with prolonged immobility like hip arthroplasty, thus lower DVT risk.