ATI RN
ATI Medsurg Proctored Final Exam Questions
Extract:
Question 1 of 5
A nurse in a provider's office is reviewing the laboratory results of a client who takes furosemide for hypertension. The nurse notes that the client's potassium level is 3.3 mEq/L. The nurse should monitor the client for which of the following complications?
Correct Answer: C
Rationale: The correct answer is C: Cardiac dysrhythmias. Furosemide is a loop diuretic that can lead to hypokalemia, which is a potassium deficiency. A potassium level of 3.3 mEq/L is below the normal range (3.5-5.0 mEq/L) and can increase the risk of cardiac dysrhythmias due to the role potassium plays in maintaining the heart's electrical activity. Hypertension (
A) is not directly related to low potassium levels. Hyperkalemia (
B) is the opposite of what the client is experiencing. Pulmonary edema (
D) is not typically associated with low potassium levels.
Question 2 of 5
A nurse teaches a client about cervical polyps. What is an expected symptom?
Correct Answer: C
Rationale: The correct answer is C: Postcoital bleeding. Cervical polyps are benign growths on the cervix that can cause postcoital bleeding due to contact with the polyp during intercourse. Pelvic pain, heavy menstrual bleeding, and urinary incontinence are not typical symptoms of cervical polyps. Pelvic pain may occur in other conditions like endometriosis. Heavy menstrual bleeding can be a symptom of fibroids or hormonal imbalances. Urinary incontinence is more commonly associated with pelvic floor disorders or urinary tract infections. Postcoital bleeding specifically points to cervical polyps as the likely cause.
Question 3 of 5
A nurse is assessing a client who is 1 day postoperative following a lobectomy and has a chest tube drainage system in place. Which of the following findings by the nurse indicates a need for intervention?
Correct Answer: C
Rationale: Subcutaneous emphysema, where air gets trapped under the skin, may indicate an underlying pneumothorax and should be reported to the provider.
Question 4 of 5
A nurse is caring for a client with a sucking chest wound from a gunshot. What action should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen via nasal cannula. This is the priority action to ensure the client receives adequate oxygenation. In a sucking chest wound, air enters the pleural space, leading to a potential pneumothorax, which can compromise oxygenation. Administering oxygen helps maintain oxygen saturation levels and supports respiratory function. Placing the client in Trendelenburg position (choice
B) can worsen respiratory distress by increasing pressure on the diaphragm. Applying a warm compress (choice
C) may promote bleeding and is not effective in managing a sucking chest wound. Encouraging deep breathing exercises (choice
D) can further exacerbate the pneumothorax by allowing more air to enter the pleural space.
Question 5 of 5
A nurse is providing teaching about a heart healthy diet to a group of clients with hypertension. Which of the following statements by one of the clients indicates a need for further teaching?
Correct Answer: A
Rationale: The correct answer is A: "I may eat 10 ounces of lean protein each day." This statement indicates a need for further teaching because consuming 10 ounces of lean protein daily may lead to excessive protein intake, which can strain the kidneys and potentially worsen hypertension. Clients with hypertension should limit protein intake and focus on lean sources in moderation.
Choices B, C, and D are correct as they align with a heart-healthy diet by limiting sodium intake, increasing fruits and vegetables, and avoiding fried foods and processed meats, respectively.