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 received a purified protein derivative (PPD) skin test 48 hr ago and notes erythema with induration of 13 mm at the injection site. Which of the following instructions should the nurse provide to the client?
Correct Answer: D
Rationale: The correct answer is D: "You will need to follow up with your provider." The nurse should instruct the client to follow up with their provider because an induration of 13 mm at 48 hours post-PPD indicates a positive result for tuberculosis exposure. Follow-up is necessary to determine if treatment or further evaluation is needed.
Choice A is incorrect because annual skin tests are not necessary unless there is ongoing exposure or risk factors.
Choice B is incorrect as the client does not need to return in 48 hours for re-evaluation since the test has already been read at 48 hours.
Choice C is incorrect as repeating the test is not necessary when a positive result is already present.
Question 2 of 5
A nurse is caring for a client who has a full-thickness burn. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide humidified oxygen. Full-thickness burns can compromise the client's ability to breathe due to airway swelling and damage. Providing humidified oxygen helps support respiratory function by improving oxygenation and reducing the risk of hypoxia. Implementing fluid restriction (
A) is not appropriate as burn patients typically require increased fluid intake to prevent dehydration. Administering antibiotic medications (
C) may be necessary to prevent infection but is not the priority in this scenario. Administering acyclovir orally (
D) is used to treat viral infections, not full-thickness burns.
Question 3 of 5
A nurse is caring for a client who has a herniated disc and is scheduled for a peripheral nerve block. The client tells the nurse, 'I am afraid to have this procedure.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale:
Rationale: Option D is correct as it acknowledges the client's fear and opens the door for a discussion about their concerns, allowing the nurse to address them. It shows empathy and promotes client-centered care. Option A focuses solely on needles, which may not address the client's overall fear. Option B dismisses the client's feelings without addressing their fear. Option C asks for the reason but may not actively engage in addressing the fear. Overall, option D is the best choice as it demonstrates active listening and a willingness to address the client's specific concerns.
Question 4 of 5
A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the plasma immediately after thawing. Fresh frozen plasma should be administered promptly after thawing to ensure optimal effectiveness and prevent clotting. Delaying administration can lead to decreased clotting factor activity.
Choice A is incorrect as a larger gauge needle is typically used for plasma transfusions.
Choice B is incorrect because fresh frozen plasma is often indicated for bleeding disorders, so holding the transfusion would be counterproductive.
Choice D is incorrect as fresh frozen plasma is usually infused rapidly, not over 4 hours.
Question 5 of 5
A nurse is caring for a client who has left-sided heart failure. Which of the following findings should indicate to the nurse that the client is experiencing a decrease in cardiac output?
Correct Answer: C
Rationale: The correct answer is C: Confusion. In left-sided heart failure, decreased cardiac output can lead to decreased perfusion to the brain, resulting in confusion. Weight gain (
A) is more indicative of fluid retention, distended abdomen (
B) is a sign of ascites or abdominal organ enlargement, and dyspnea (
D) is a common symptom of heart failure but not a direct indicator of decreased cardiac output.