ATI Medical Surgical Proctored Exam 2023 With NGN Questions

Extract:

Question 1 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?

A. A client who has peritonitis reports generalized abdominal pain. B. A client who has angina reports substernal chest pain. C. A client who is postoperative reports incisional pain. D. A client who has pancreatitis reports pain in the left shoulder.

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 2 of 5

A nurse is caring for a client who has a history of chemotherapy-induced nausea and vomiting. Which of the following medications should the nurse administer prior to chemotherapy?

A. Selenaline B. Ondansetron C. Diphenhydramine D. Methylprednisolone

Correct Answer: B

Rationale: The correct answer is B: Ondansetron. Ondansetron is a commonly used antiemetic medication that helps prevent chemotherapy-induced nausea and vomiting by blocking serotonin receptors in the gastrointestinal tract and chemoreceptor trigger zone. Administering ondansetron before chemotherapy can effectively reduce the incidence of these side effects. Selenaline (
A) is not a recognized medication for managing chemotherapy-induced nausea and vomiting. Diphenhydramine (
C) is an antihistamine that may be used for other types of nausea but is not the first-line treatment for chemotherapy-induced nausea. Methylprednisolone (
D) is a corticosteroid that may be used to reduce inflammation but is not typically used as a primary antiemetic for chemotherapy-induced nausea and vomiting.

Question 3 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?

A. Administer Insulin. B. Teach the client about manifestations of HHS. C. Measure the client's urinary output. D. Initiate IV fluid replacement.

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.

Question 4 of 5

A nurse is providing discharge teaching for a client who has heart failure and is to start therapy with digoxin. Which of the following statements by the client indicates an understanding of the teaching?

A. I will take my digoxin if my pulse is less than 50 beats per minute. B. I will take this medication with fiber to prevent constipation. C. I will increase my dose if my vision becomes blurred. D. I will notify my provider if I experience muscle weakness.

Correct Answer: D

Rationale: Rationale for Correct Answer (
D):
The correct answer is D because muscle weakness is a potential sign of digoxin toxicity. It is crucial for the client to notify the provider immediately to prevent serious complications. This statement indicates an understanding of the teaching regarding digoxin therapy.

Summary of Incorrect

Choices:
A: Incorrect. Taking digoxin with a pulse less than 50 beats per minute can lead to bradycardia and toxicity.
B: Incorrect. Taking digoxin with fiber may decrease its absorption, reducing its effectiveness.
C: Incorrect. Blurred vision is a sign of digoxin toxicity, and the dose should be decreased, not increased.

Question 5 of 5

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following nursing actions isn't appropriate?

A. Monitor serum blood glucose during infusion. B. Obtain the client's weight daily. C. Infuse 0.9% sodium chloride if the solution is not available. D. Verify the solution with another RN prior to infusion.

Correct Answer: C

Rationale:
Correct
Answer: C - Infuse 0.9% sodium chloride if the solution is not available.

Rationale: TPN is a specialized form of nutrition that must be administered precisely as prescribed to prevent complications. Infusing 0.9% sodium chloride instead of the prescribed TPN solution can lead to imbalanced nutrient intake and electrolyte disturbances. It is crucial to follow the prescribed TPN regimen accurately to meet the client's specific nutritional needs.

Incorrect

Choices:
A: Monitoring serum blood glucose during infusion is appropriate to ensure the client's glycemic control while on TPN.
B: Obtaining the client's weight daily is important to assess fluid status and adjust the TPN prescription as needed.
D: Verifying the TPN solution with another RN prior to infusion is a standard safety practice to prevent errors in administration.

ATI Medical Surgical Proctored Exam 2023 With NGN Questions and Correct Answers -Nurselytic

Nurselytic

ATI RN

ATI RN