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 receiving morphine for pain and has a respiratory rate of 8/min and a blood pressure of 80/50 mmHg. Which of the following medications should the nurse administer?
Correct Answer: A
Rationale: The correct answer is A: Naloxone. Naloxone is an opioid antagonist that reverses the effects of opioids like morphine, which can cause respiratory depression leading to bradypnea (slow breathing) and hypotension. In this case, the client's low respiratory rate and blood pressure indicate opioid overdose. Administering naloxone can help reverse the respiratory depression and stabilize the client's breathing and blood pressure.
Promethazine (
B) is an antihistamine used for nausea and vomiting, not for opioid overdose. Acetylcysteine (
C) is a mucolytic agent used for acetaminophen overdose. Flumazenil (
D) is a benzodiazepine antagonist, not indicated for opioid overdose.
Question 2 of 5
A nurse is assessing the pain status of a group of clients. Which of the following findings indicates a client is experiencing referred pain?
Correct Answer: D
Rationale: Referred pain is pain perceived at a site different from its point of origin. In the case of pancreatitis, pain is often referred to the left shoulder due to shared nerve pathways. The other choices involve pain directly related to the affected area (peritonitis, angina, postoperative incision), making them incorrect.
Question 3 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 4 of 5
A nurse is caring for a client who has cervical cancer and is receiving internal radiation therapy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take is to check if the radioactive device is in the correct position. This is crucial to ensure that the radiation therapy is being delivered accurately and effectively. By verifying the position of the radioactive device, the nurse can prevent potential harm to the client and ensure the success of the treatment.
Choice B is incorrect because limiting visitors' time does not directly relate to the safety and effectiveness of the radiation therapy.
Choice C is incorrect as asking visitors to remain 3 feet away does not address the primary concern of verifying the device's position.
Choice D is also incorrect as lead-lined aprons are typically used by healthcare providers during procedures, not by the client.
Question 5 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.