ATI RN
ATI RN Adult Medical Surgical 2023 Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a full chest, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Provide humidified oxygen. This is because the client with a full chest may be experiencing difficulty breathing, and humidified oxygen can help improve oxygenation and relieve respiratory distress. Inpatient fluid reduction (choice
A) is not indicated without further assessment. Admonitor antibiotic medication (choice
C) is not directly related to addressing the client's respiratory distress. Administering acute/micoplasm (café) (choice
D) is not a recognized medical intervention. Providing humidified oxygen is the most appropriate initial action to address the client's respiratory symptoms.
Question 2 of 5
A nurse is teaching a client who has a new prescription for warfarin about foods that affect the INR. The nurse should include in the teaching that which of the following foods interact with this medication?
Correct Answer: B
Rationale: The correct answer is B: Kale. Kale is high in vitamin K, which can interfere with the anticoagulant effects of warfarin by increasing the clotting factors in the blood, leading to a decreased INR. It is important for patients on warfarin to maintain a consistent intake of vitamin K-rich foods to ensure their INR remains within the therapeutic range. Orange juice (
A), beef stew (
C), and yogurt (
D) do not significantly interact with warfarin. A summary of why they are incorrect: Orange juice does not have a direct interaction with warfarin. Beef stew does not contain significant amounts of vitamin K. Yogurt is not a high vitamin K food.
Question 3 of 5
A nurse working in the emergency department is caring for a client who has a burn injury. After securing the client's airway, which of the following interventions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Start IV with a large-bore needle. This is the priority intervention because fluid resuscitation is crucial in managing burn injuries to prevent hypovolemic shock. Starting an IV line allows for prompt administration of fluids and medications. Administering analgesic medication (
A) can wait until after fluid resuscitation. Increasing room temperature (
B) is not a priority in burn management. Cleansing wounds (
C) can be done after fluid resuscitation. Starting the IV line with a large-bore needle (
D) takes precedence over other interventions to stabilize the client's condition.
Question 4 of 5
A nurse is reviewing the laboratory findings of a client who has a new diagnosis of Graves' disease. The nurse should anticipate which of the following laboratory values to be elevated?
Correct Answer: A
Rationale: The correct answer is A: Trisodothyronine 3. In Graves' disease, there is excessive production of thyroid hormones, including triiodothyronine (T3). Elevated T3 levels are common in hyperthyroidism, which is a hallmark of Graves' disease. T3 is the active form of thyroid hormone and is responsible for regulating metabolism. Phosphorus, calcium, and thyroid-stimulating hormone levels are typically not elevated in Graves' disease. Phosphorus and calcium are more related to bone health and are usually within normal limits unless complications arise. Thyroid-stimulating hormone levels are usually suppressed in hyperthyroidism, including Graves' disease.
Question 5 of 5
A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?
Correct Answer: C
Rationale: The correct answer is C: Uric acid. In acute gout, there is an increase in the production or decrease in the excretion of uric acid, leading to elevated levels in the blood. This results in the formation of urate crystals in the joints, causing inflammation and pain.
Choices A, B, and D are unrelated to acute gout. A chronic level (
Choice
A) does not indicate an acute condition. Creatinine kinase (
Choice
B) is an enzyme related to muscle damage, not specific to gout. Immac factor (
Choice
D) is not a relevant marker for acute gout.
Therefore, the correct answer is C as it directly correlates with the pathophysiology of acute gout.