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 is postoperative following an open reduction and internal fixation (ORIF) of the femur. Which of the following assessments should be the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Pain assessment. Pain assessment should be the nurse's priority because postoperative pain management is crucial for the client's comfort, recovery, and overall well-being. Uncontrolled pain can lead to complications such as decreased mobility, respiratory issues, and delayed healing. Assessing and managing pain promptly can also prevent potential complications and promote early mobilization. The other choices are not the nurse's priority in this scenario. The Braden Scale assesses the risk of pressure ulcers, Morse Fall Risk Scale assesses the risk of falls, and nutritional assessment is important but not the priority immediately post-ORIF surgery.
Question 2 of 5
A nurse is caring for a client receiving TPN. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Monitor serum blood glucose during infusion. This is crucial because TPN (total parenteral nutrition) is a high concentration of glucose and can lead to hyperglycemia. Regular monitoring helps in detecting and managing any glucose fluctuations promptly.
Choice B is incorrect as daily weight is essential but not the priority when compared to monitoring glucose.
Choice C is incorrect as infusing 0.9% sodium chloride as an alternative can lead to incompatible solutions and cause harm.
Choice D is incorrect because verifying the solution with another RN is important for safety but does not address the immediate need for glucose monitoring.
Question 3 of 5
A nurse is planning care for a client who has hemiplegia. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Place pillows between the client's knees when in a side-lying position. Placing pillows between the knees helps maintain proper alignment of the hips and spine, preventing the development of pressure ulcers and improving comfort for the client.
Choice A is incorrect as sitting on a rubber ring does not directly address the client's hemiplegia.
Choice B is incorrect because raising the head of the bed to a 90° angle may not be suitable for a client with hemiplegia due to potential issues with positioning and pressure distribution.
Choice D is incorrect as using moisturizing lotion while massaging bony prominences is not a specific intervention for hemiplegia care.
Question 4 of 5
A nurse is providing discharge teaching to a client who had a bilateral orchiectomy. The nurse should instruct the client to expect which of the following symptoms?
Correct Answer: C
Rationale: The correct answer is C: Hot flashes. After a bilateral orchiectomy (removal of both testicles), there is a sudden decrease in testosterone levels, leading to hormonal imbalances. This can result in hot flashes, which are commonly experienced by men undergoing androgen deprivation therapy. Hypoglycemia (
A) is not typically associated with orchiectomy. Increased libido (
B) and increased muscle mass (
D) are actually expected to decrease due to the decrease in testosterone levels post-orchiectomy.
Question 5 of 5
A nurse is caring for a client who has a new onset of hyperglycemic hyperosmolar state (HHS). Which of the following interventions by the nurse is the highest priority?
Correct Answer: D
Rationale: The correct answer is D: Initiate IV fluid replacement. In hyperglycemic hyperosmolar state (HHS), the client is severely dehydrated due to high blood glucose levels. IV fluid replacement is the highest priority to rehydrate the client and improve circulation. Administering insulin (
A) is important but not the highest priority as fluid replacement takes precedence. Teaching the client about manifestations of HHS (
B) is important for long-term management but not the immediate priority. Measuring urinary output (
C) is important to assess renal function but not as critical as rehydrating the client.