ATI RN
RN ATI Adult Medsurg Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a group of clients. For which of the following clients should the nurse make a referral to palliative care?
Correct Answer: B
Rationale: The correct answer is B because the client with Parkinson's disease whose medications are no longer effective may benefit from the specialized care and symptom management provided by palliative care. Palliative care focuses on improving quality of life for individuals with serious illnesses by addressing physical, emotional, and spiritual needs. Referral is appropriate when symptoms are not adequately controlled.
Choices A, C, and D do not require palliative care as they involve routine treatments or procedures that do not necessarily indicate the need for specialized palliative services.
Question 2 of 5
A nurse is planning care for a client who has a lump in their right breast. Which of the following findings increases the clients risk of developing breast cancer?
Correct Answer: C
Rationale: The correct answer is C: Oral contraceptives were taken for the last 6 years. Long-term use of oral contraceptives has been associated with a slightly increased risk of developing breast cancer. Estrogen and progesterone in oral contraceptives can stimulate the growth of breast tissue, potentially leading to cancer over time. Daily caffeine consumption (choice
A) and a history of seasonal allergies (choice
B) do not have a direct correlation with an increased risk of breast cancer. Routine use of multivitamins (choice
D) is generally not linked to an increased risk of breast cancer.
Question 3 of 5
A nurse notes that a clients eyes are protruding slightly from their orbits. Which of the following laboratory findings should the nurse expect?
Correct Answer: B
Rationale: The nurse should expect increased T4 levels in a client with slightly protruding eyes, known as exophthalmos, as it is a classic sign of hyperthyroidism, where the thyroid gland is overactive. Thyroid hormones, such as T4, are responsible for regulating metabolism, and elevated levels can lead to symptoms like exophthalmos. Decreased TSH levels (choice
A) would actually be seen in primary hyperthyroidism due to negative feedback. Elevated calcium levels (choice
C) are more indicative of hyperparathyroidism. Low hemoglobin levels (choice
D) are not typically associated with exophthalmos or hyperthyroidism.
Question 4 of 5
A nurse is caring for a client who is receiving vancomycin intermittent IV bolus therapy for methicillin-resistant Staphylococcus aureus (MRSA). Which of the following findings is an indication to the nurse that the client is experiencing an adverse effect of the medication?
Correct Answer: B
Rationale: The correct answer is B: The client is becoming flushed. Flushing is a common adverse effect of vancomycin, indicating a possible allergic reaction or infusion reaction. Flushing can be a sign of red man syndrome, a severe reaction to vancomycin. The nurse should monitor closely and report this finding to the healthcare provider.
Incorrect Answer
Rationale:
A: The client reports ringing in the ears - this is a potential adverse effect of vancomycin, but not as critical as flushing.
C: The client reports increased thirst - this is not typically associated with vancomycin adverse effects.
D: The client has a decreased urine output - this may indicate nephrotoxicity, a known side effect of vancomycin, but flushing is more indicative of an immediate adverse reaction.
Question 5 of 5
A nurse is caring for a client who is intubated and receiving mechanical ventilation for heroin toxicity. Which of the following assessments is the nurses priority?
Correct Answer: C
Rationale: The correct answer is C: Check ABGs. In this scenario, monitoring the client's arterial blood gases (ABGs) is the priority assessment because heroin toxicity can lead to respiratory depression and impaired gas exchange. ABGs provide crucial information about the client's oxygenation and ventilation status, which is essential for managing mechanical ventilation and preventing respiratory complications. Monitoring urine output (
A) is important but not the priority in a client with potential respiratory compromise. Assessing level of consciousness (
B) is significant, but ensuring adequate oxygenation takes precedence. Monitoring for signs of withdrawal (
D) is important but not as urgent as assessing respiratory status.