ATI RN
ATI RN Adult Medical Surgical 2023 Questions Correct Answers Questions
Extract:
Question 1 of 5
A nurse in the PACU is caring for a client. Which of the following assessments is the nurse's priority?
Correct Answer: D
Rationale: The correct answer is D: Respiratory status. In the PACU, ensuring adequate oxygenation and ventilation is crucial for the client's immediate postoperative recovery. Monitoring respiratory status helps prevent complications like hypoxia or respiratory distress. Assessing the airway, breathing rate, depth, and oxygen saturation takes precedence over other assessments. Level of consciousness (
A) is important but can be affected by respiratory issues. Surgical site (
B) assessment is important but not an immediate priority. Pain level (
C) is important but can be managed once respiratory status is stable. Summary: Respiratory status is the priority as it directly impacts the client's immediate well-being and recovery.
Question 2 of 5
A nurse is caring for a client who has oral achalasia, The nurse should ask the client which of the following questions to assess their ability to swallow?
Correct Answer: A
Rationale: The correct answer is A: "Do you feel like you have food stuck at the base of your throat?" This question is appropriate for assessing the client's ability to swallow because oral achalasia is a condition where the lower esophageal sphincter fails to relax, causing difficulty in passing food from the mouth to the esophagus. Asking about the sensation of food stuck in the throat helps to identify this symptom.
Choice B: "Do you have any feelings of fullness in the neck?" is incorrect because fullness in the neck is not a typical symptom of oral achalasia.
Choice C: "Do you feel any burning sensations in your throat?" is incorrect because burning sensations are more commonly associated with acid reflux or GERD, not specifically with oral achalasia.
Choice D: "Do you have any problems with pain while swallowing?" is incorrect as pain while swallowing is not a typical symptom of oral achalasia.
Therefore, the correct question to assess
Question 3 of 5
Which of the following findings should the nurse identify as a contraindication to receiving this alternative therapy?
Correct Answer: B
Rationale: The correct answer is B: Lymphedema. Lymphedema is a swelling caused by a lymphatic system blockage, which can be worsened by some alternative therapies. Headaches, mouth sores, and urticaria are symptoms that may not necessarily contraindicate alternative therapy. Lymphedema can cause complications if not managed properly, making it a clear contraindication.
Question 4 of 5
A nurse is teaching a client about using a metered-dose rescue inhaler. Which of the following statements should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: "Exhale fully before bringing the inhaler to your lips." This statement is important because exhaling fully before inhaling the medication helps to ensure maximum delivery of the medication into the lungs. By exhaling fully, the client creates more space in the lungs for the medication to reach the lower airways effectively.
Choice A is incorrect because depressing the canister after inhaling would not allow the medication to reach the lungs.
Choice C is incorrect as peroxide is not recommended for cleaning inhaler mouthpieces.
Choice D is incorrect because shaking the inhaler before use is necessary to ensure proper mixing of the medication for effective delivery.
Question 5 of 5
A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000 that requires IV contrast dye. Which of the following routine medications to give at 0800 should the nurse withhold?
Correct Answer: C
Rationale: The correct answer is C: Metformin. The nurse should withhold metformin before the procedure with IV contrast dye due to the risk of lactic acidosis. IV contrast dye can affect kidney function, leading to an increased risk of lactic acidosis when combined with metformin. Fluticasone (
A), metoprolol (
B), and valproic acid (
D) are not contraindicated before the procedure with IV contrast dye. Fluticasone is an inhaled corticosteroid, metoprolol is a beta-blocker, and valproic acid is an anticonvulsant. These medications are not typically affected by IV contrast dye and can be safely administered.