ATI RN
ATI Medsurg Proctored Final Exam Questions
Extract:
Question 1 of 5
A nurse in a clinic is interviewing a client who has a possible diagnosis of endometriosis. Which of the following findings in the client's history should the nurse recognize as consistent with a diagnosis of endometriosis?
Correct Answer: A
Rationale: The correct answer is A: Dysmenorrhea that is unresponsive to NSAIDs. Endometriosis is characterized by severe menstrual pain that is not relieved by NSAIDs. This is due to the abnormal growth of endometrial tissue outside the uterus. Heavy menstrual bleeding (
B) is a common symptom but not specific to endometriosis. Positive family history of fibroids (
C) is unrelated to endometriosis. Pelvic pain after intercourse (
D) can be a symptom of endometriosis but is not as specific as unresponsive dysmenorrhea.
Question 2 of 5
A nurse is assessing a client's wound dressing and observes a watery red drainage. The nurse should document this drainage as which of the following?
Correct Answer: C
Rationale: The correct answer is C: Serosanguineous. This type of drainage is a mixture of clear (serous) and red (sanguineous) fluids, indicating a normal stage of wound healing. The clear fluid suggests minimal inflammation, while the red fluid indicates presence of blood. Serous drainage alone is typically clear and watery without any blood. Sanguineous drainage is bright red and indicates fresh blood. Purulent drainage is thick, opaque, and yellowish-green, suggestive of infection.
Therefore, in this scenario, the observation of watery red drainage best fits the description of serosanguineous drainage.
Question 3 of 5
A nurse is collaborating on care for a client who has COPD. Which of the following tasks should the nurse recommend be referred to an occupational therapist for assistance?
Correct Answer: A
Rationale: The correct answer is A because an occupational therapist can help the client with COPD by providing strategies and adaptive tools for meal preparation to conserve energy and promote independence in daily activities. Administering oxygen therapy (
B), monitoring oxygen saturation levels (
C), and assessing breathing patterns (
D) are within the scope of nursing practice for managing COPD. These tasks require clinical knowledge and skills that nurses are trained to perform.
Question 4 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 5 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.