ATI RN
ATI Medsurg Proctored Final Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has asthma and is taking fluticasone. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: A
Rationale: The correct answer is A: Oral candidiasis. Fluticasone is a corticosteroid inhaler commonly used to manage asthma. Corticosteroids can suppress the immune system locally, leading to oral candidiasis. The nurse should monitor for white patches in the mouth. Hypertension (
B), increased appetite (
C), and weight loss (
D) are not commonly associated with fluticasone use.
Question 3 of 5
A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: The client will walk for 30 min 5 days a week. Walking is a feasible and effective form of exercise for overall health promotion. It helps improve cardiovascular health, which is important for someone with hypertension. It also aids in weight management, addressing the client's elevated BMI. Additionally, it can assist in smoking cessation efforts by reducing cravings and stress. Quitting smoking (choice
B) is crucial but may require a longer timeline. Reducing BMI to 22 in 6 months (choice
C) may be too aggressive and unrealistic. Eating low-fat meals (choice
D) is beneficial but focusing solely on diet may not address the client's overall health needs.
Question 4 of 5
A nurse is reviewing the laboratory findings for a client who developed fat embolism syndrome (FES) following a fracture. Which of the following laboratory findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Decreased serum calcium level. In fat embolism syndrome (FES), fat globules enter the bloodstream, leading to blockages in small blood vessels. This can cause a decrease in serum calcium due to the formation of fat emboli in the pulmonary circulation, leading to hypoxia and subsequent release of inflammatory mediators that can affect calcium levels. The other choices are incorrect because in FES, there is no direct effect on serum calcium levels. Increased serum calcium levels (choice
A) are not expected in FES. While increased white blood cell count (choice
C) and decreased platelet count (choice
D) can occur in response to inflammation or infection associated with FES, they are not specific laboratory findings for FES.
Question 5 of 5
A nurse teaches a client with vulvodynia about self-care. What statement indicates understanding?
Correct Answer: B
Rationale: The correct answer is B. Clients with vulvodynia should avoid the use of any lubricants to prevent irritation and exacerbation of symptoms. Lubricants can contain chemicals or fragrances that can further irritate the sensitive skin in the vulvar area. Choosing products specifically designed for sensitive skin or recommended by a healthcare provider is crucial. Using lubricants can worsen symptoms and discomfort.
Avoiding scented soaps (choice
A) is important as well because fragrances can also irritate the vulvar area. Wearing tight synthetic underwear (choice
C) can trap moisture and heat, leading to increased irritation. Using hot baths frequently (choice
D) can also worsen symptoms by further irritating the sensitive skin.