ATI RN
ATI Medical Surgical Proctored Exam 2023 With NGN Questions and Correct Answers Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has skeletal traction for a femoral fracture. The nurse notes that the weights are resting on the floor. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to reapply the weights to ensure proper traction. This is crucial to maintain the intended pulling force required for the skeletal traction to be effective in realigning the fractured bone. If the weights are resting on the floor, it means that the traction is not being applied as intended, which can lead to ineffective treatment and potential complications. Removing a weight (choice
A) would decrease the traction force, tying knots in the ropes (choice
B) would alter the mechanics of the system, and increasing the elevation of the extremity (choice
C) would not address the issue of weights resting on the floor.
Therefore, the best course of action is to reapply the weights to ensure proper traction and alignment of the fractured bone.
Question 2 of 5
A nurse working in the emergency department is caring for a client who has a burn injury. After securing the client's airway, which of the following interventions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Start an IV with a large bore needle. This intervention is crucial for fluid resuscitation in burn victims to prevent hypovolemic shock. Starting an IV allows for prompt administration of fluids and medications. Administering analgesics (
A) can wait until after fluids are started. Increasing room temperature (
B) is not a priority. Cleansing wounds (
C) can be delayed until the patient is stabilized. Starting an IV is more urgent than other interventions in the initial management of burn injuries.
Question 3 of 5
A nurse is teaching a client who has a new prescription for warfarin about foods that affect the INR. The nurse should include in the teaching that which of the following foods interacts with this medication?
Correct Answer: B
Rationale: The correct answer is B: Cabbage. Cabbage is high in vitamin K, which can counteract the effects of warfarin, a medication that works by blocking the action of vitamin K in the blood. Consuming large amounts of foods high in vitamin K, like cabbage, can decrease the effectiveness of warfarin and increase the risk of blood clots. Orange juice (
A), beef stew (
C), and vegetable oil (
D) do not significantly affect INR levels or interact with warfarin in the same way as vitamin K-rich foods like cabbage.
Question 4 of 5
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Which of the following findings require immediate follow-up?
Correct Answer: B
Rationale: The correct answer is B: Heart rate 110/min and irregular. This finding indicates potential cardiac issues like myocardial infarction. Immediate follow-up is necessary to assess for any life-threatening conditions. The other options are not as urgent. A: Temperature within normal range, C: Respiratory rate slightly elevated but not critical, D: Elevated blood pressure but not as concerning as irregular heart rate.
Question 5 of 5
A nurse is caring for a client who has heart failure. Which of the following findings indicate the client is at risk for developing complications?
Correct Answer: A
Rationale: The correct answer is A, dysrhythmias. In heart failure, the heart's inability to pump effectively can lead to electrical disturbances causing dysrhythmias, which can be life-threatening. Dysrhythmias can result in decreased cardiac output, further exacerbating heart failure. Respiratory alkalosis (
B) is not a direct complication of heart failure. Acute kidney injury (
C) can occur due to decreased cardiac output, leading to decreased renal perfusion, but it is not a direct risk factor for complications in heart failure. Fluid volume deficit (
D) is a common finding in heart failure due to fluid retention, but it is not a direct risk for complications like dysrhythmias.