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 heart failure. Which of the following findings indicate the client is at risk for developing complications?
Correct Answer: A
Rationale: The correct answer is A, dysrhythmias. In heart failure, the heart's inability to pump effectively can lead to electrical disturbances causing dysrhythmias, which can be life-threatening. Dysrhythmias can result in decreased cardiac output, further exacerbating heart failure. Respiratory alkalosis (
B) is not a direct complication of heart failure. Acute kidney injury (
C) can occur due to decreased cardiac output, leading to decreased renal perfusion, but it is not a direct risk factor for complications in heart failure. Fluid volume deficit (
D) is a common finding in heart failure due to fluid retention, but it is not a direct risk for complications like dysrhythmias.
Question 2 of 5
A nurse is caring for a client who has an arteriovenous graft. Which of the following findings indicates adequate circulation of the graft?
Correct Answer: A
Rationale: The correct answer is A: Palpable thrill. A palpable thrill indicates that there is adequate circulation of the arteriovenous graft. A thrill is a vibration felt over the graft site, which suggests that blood is flowing through the graft properly. A palpable thrill is a positive sign of good circulation.
The other choices are incorrect because:
B: Membranous blood pressure does not provide information about the circulation of the graft.
C: Absence of a bruit could indicate decreased or absent blood flow through the graft.
D: Dilated appearance of the graft does not necessarily indicate adequate circulation; it could be due to other reasons such as infection or inflammation.
Question 3 of 5
A nurse is teaching the family of a client who has Alzheimer's disease about caring for the client at home. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: The correct answer is D: Place a large-face clock in the client's bedroom. This is important for clients with Alzheimer's disease as they may have difficulty understanding the concept of time. A large-face clock with clear numbers can help the client orient themselves and maintain a sense of time. Keeping the client's bedroom dark at night (
A) may actually increase confusion and disorientation. Covering electrical outlets in the client's home with tape (
B) is not relevant to caring for a client with Alzheimer's disease. Hanging a monthly calendar in the client's bedroom (
C) may be overwhelming and confusing due to the client's cognitive difficulties.
Question 4 of 5
A nurse is caring for a client who is postoperative following an endoscopy with moderate (conscious) sedation. Which of the following assessment findings is the nurse's priority?
Correct Answer: A
Rationale: The correct answer is A: Oxygen saturation. Ensuring adequate oxygen saturation is the nurse's priority because the client received moderate sedation, which can depress the respiratory drive. Monitoring oxygen saturation helps to detect any signs of respiratory distress early on. Warm extremities (
B) and temperature (
C) are important but not the priority in this situation. Pain management (
D) is important but not as critical as ensuring adequate oxygenation.
Question 5 of 5
A nurse is caring for an older adult client who reports vaginal dryness and itching. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "Your symptoms are likely due to decreasing estrogen levels." This response is correct because vaginal dryness and itching are common symptoms of vaginal atrophy, which is often caused by decreased estrogen levels in older adult women. The nurse's acknowledgment and explanation of this physiological change can help the client understand the root cause of her symptoms and guide further discussion on appropriate treatment options, such as hormone therapy or vaginal moisturizers.
Choice A is incorrect because it dismisses the client's discomfort without addressing the underlying cause.
Choice B is incorrect as it provides potentially harmful advice without addressing the issue.
Choice C is incorrect as it inaccurately describes the condition of vaginal tissue in older women.