ATI RN
ATI Medical Surgical Proctored Exam 2023 With NGN Questions and Correct Answers Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has acute angina. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Administer aspirin. Aspirin helps to reduce platelet aggregation and prevent further clot formation in clients with acute angina, thus reducing the risk of myocardial infarction. Administering aspirin should be the first action as it addresses the immediate risk of clot formation and helps improve blood flow to the heart muscle.
Measuring blood pressure (
A) can be important but is not the priority in this situation. Administering nitroglycerin (
C) is important for symptom relief but does not address the underlying cause. Initiating IV access (
D) may be necessary later for further interventions, but it is not the first priority.
Question 2 of 5
A nurse is assessing a client who has a urinary catheter. The nurse notes the client's IV tubing is kinked and the urinary catheter bag is lying next to the client in bed. The nurse should identify that the client is at risk for which of the following conditions?
Correct Answer: B
Rationale: The correct answer is B: Infection. The kinked IV tubing and the urinary catheter bag lying next to the client in bed can lead to contamination of the catheter system, increasing the risk of a urinary tract infection. The kinked tubing can cause backup of urine, leading to bacterial growth, while the catheter bag being on the bed can introduce pathogens to the catheter. Infections can result in serious complications for the client if not addressed promptly. The other choices, A: Neurogenic bladder, C: Skin breakdown, and D: Pistolate, are not directly related to the scenario presented and do not pose an immediate risk based on the information provided.
Question 3 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?
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 4 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 an IV with a large bore needle. This intervention is crucial for fluid resuscitation in burn victims to prevent hypovolemic shock. Starting an IV allows for prompt administration of fluids and medications. Administering analgesics (
A) can wait until after fluids are started. Increasing room temperature (
B) is not a priority. Cleansing wounds (
C) can be delayed until the patient is stabilized. Starting an IV is more urgent than other interventions in the initial management of burn injuries.
Question 5 of 5
A nurse is caring for a client who has cervical cancer and is receiving internal radiation therapy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take is to check if the radioactive device is in the correct position. This is crucial to ensure that the radiation therapy is being delivered accurately and effectively. By verifying the position of the radioactive device, the nurse can prevent potential harm to the client and ensure the success of the treatment.
Choice B is incorrect because limiting visitors' time does not directly relate to the safety and effectiveness of the radiation therapy.
Choice C is incorrect as asking visitors to remain 3 feet away does not address the primary concern of verifying the device's position.
Choice D is also incorrect as lead-lined aprons are typically used by healthcare providers during procedures, not by the client.