ATI RN
RN ATI Adult Medsurg Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has end-stage kidney disease. The clients adult child asks the nurse about becoming a living kidney donor for their parent. Which of the following conditions in the childs medical history should the nurse identify as a contraindication to the procedure?
Correct Answer: C
Rationale: The correct answer is C: Hypertension. Hypertension is a contraindication for kidney donation due to the increased risk of kidney disease and complications post-donation. High blood pressure can impair kidney function and increase the risk of cardiovascular events. Amputation (
A), osteoarthritis (
B), and primary glaucoma (
D) are not contraindications for kidney donation as they do not directly impact kidney function or pose significant risks for the donor.
Question 2 of 5
A nurse is assessing a client who has a new diagnosis of diabetes mellitus. The nurse should identify that which of the following findings is a manifestation of hyperglycemia?
Correct Answer: B
Rationale:
Correct Answer: B - Increased thirst
Rationale: Hyperglycemia results in elevated blood glucose levels, which leads to osmotic diuresis and fluid loss, causing increased thirst. Sweating (
A) is more commonly associated with hypoglycemia. Shakiness (
C) is a symptom of hypoglycemia due to low blood sugar levels. Decreased urination (
D) is not a typical manifestation of hyperglycemia as it is more commonly associated with conditions like dehydration or kidney issues.
Question 3 of 5
A nurse is providing teaching to a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B because it indicates the client understands the potential side effect of levothyroxine, which is palpitations or a racing heart. This shows awareness of the need to monitor and report adverse effects to the healthcare provider promptly. Taking the medication with food (
A) actually decreases its absorption. Dosage adjustments (
C) are common in thyroid medication but don't necessarily demonstrate immediate understanding. Stopping the medication once feeling better (
D) is incorrect as levothyroxine is usually a lifelong treatment. Taking medication at night (E) is not crucial for levothyroxine as long as it is taken consistently.
Question 4 of 5
A nurse is caring for a client who has deep-vein thrombosis and is receiving heparin via continuous IV infusion. The clients weight is 80 kg (176.4 lb). Using the client information provided, which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Stop the heparin infusion for 1 hr. This is because the client's weight is crucial in determining the appropriate heparin dosage. Heparin is usually dosed based on the client's weight to prevent complications such as bleeding or clotting. In this case, the client's weight of 80 kg indicates a specific dose range for heparin. Stopping the infusion for 1 hour allows the nurse to reassess the client's condition and potentially adjust the heparin dosage to ensure it is safe and effective.
A: Increasing the infusion rate without proper assessment can lead to overdose and increased risk of bleeding.
B: Administering protamine sulfate is the antidote for heparin overdose, not indicated in this scenario.
D: Decreasing the heparin dose without assessment may result in inadequate anticoagulation and increased risk of clot formation.
Question 5 of 5
A nurse is planning care for a client who has tuberculosis. Which of the following precautions should the nurse implement for this client?
Correct Answer: B
Rationale: The correct answer is B: Airborne precautions. Tuberculosis is spread through the air via droplet nuclei. Implementing airborne precautions involves placing the client in a negative pressure room, using an N95 respirator, and ensuring proper ventilation. Standard precautions (
A) are used for all clients. Contact precautions (
C) are used for clients with infections that can be spread by direct or indirect contact. Droplet precautions (
D) are used for infections spread through larger respiratory droplets. In this case, airborne precautions are specifically needed due to the mode of transmission of tuberculosis.