ATI RN
RN ATI Adult Medsurg Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a clients understanding of a surgical procedure prior to witnessing their signature on the informed consent form. The nurse determines that the client does not understand what the procedure will involve. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Contact the provider who will be performing the procedure. This is the best course of action because the provider is the most qualified individual to explain the procedure in detail and address any concerns the client may have. By involving the provider, the client can receive accurate and comprehensive information directly from the source. Proceeding with obtaining the signature (
A) without ensuring the client's understanding can lead to potential legal and ethical issues. Explaining the procedure in detail (
B) may not be sufficient if the client still has questions or concerns. Having the client sign the form and addressing concerns later (
D) is not appropriate as it prioritizes paperwork over patient understanding and safety.
Question 2 of 5
A nurse is completing an admission assessment for a client who has bacterial meningitis. Which of the following personal protective equipment should the nurse use while caring for the client?
Correct Answer: A
Rationale: The correct answer is A: Surgical mask. The nurse should use a surgical mask when caring for a client with bacterial meningitis to prevent the spread of infectious droplets. A surgical mask is sufficient for this infection, as it primarily spreads through respiratory droplets. Using an N95 respirator, sterile gloves, or a gown and face shield would be unnecessary and excessive for this particular situation, as they are typically reserved for airborne precautions or when there is a high risk of contact with bodily fluids. Thus, the use of a surgical mask is the most appropriate and effective choice in this scenario.
Question 3 of 5
A nurse is preparing to administer propranolol to several clients. For which of the following clients should the nurse clarify the prescription with the provider before administration?
Correct Answer: A
Rationale: The correct answer is A: A client who has a history of asthma. Propranolol is a non-selective beta-blocker that can potentially exacerbate bronchospasm in patients with asthma due to its mechanism of action.
Therefore, the nurse should clarify the prescription with the provider before administering it to a client with asthma to avoid potential adverse effects.
Choices B, C, and D are not contraindications for propranolol use, so there is no need to clarify the prescription for clients with hypertension, migraines, or stable angina.
Question 4 of 5
A nurse is providing preoperative teaching about stool consistency to a client who will undergo a colectomy with the placement of an ileostomy. Which of the following information about stool consistency should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: The stool will have a high volume of liquid. Following a colectomy with an ileostomy, the client will have fecal output from the small intestine, resulting in a high volume of liquid stool. This is because the large intestine, responsible for absorbing water and forming solid stool, is bypassed with an ileostomy.
Choice A is incorrect because the stool will not be firm and well-formed.
Choice C is incorrect because the stool will not be similar to normal bowel movements due to the absence of the large intestine.
Choice D is incorrect as the stool will not be hard and difficult to pass.
Question 5 of 5
A nurse is teaching a client about preventing the transmission of HIV. Which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Medication is available that will reduce the risk for HIV transmission. This is correct because antiretroviral therapy can significantly reduce the viral load in individuals living with HIV, making them less likely to transmit the virus to others. Option A is incorrect as asymptomatic individuals can also transmit HIV. Option C is incorrect as HIV is not spread through casual contact like sharing utensils. Option D is incorrect as handwashing is important for general hygiene but does not specifically prevent HIV transmission.