ATI RN
ATI Medsurg Proctored Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing menopausal symptoms and asks the nurse about menopausal hormone therapy (HT). The nurse should inform the client that HT is not recommended due to which of the following findings in the client's medical history?
Correct Answer: A
Rationale: The correct answer is A: History of breast cancer. Menopausal hormone therapy (HT) is contraindicated in women with a history of breast cancer due to the potential risk of hormone-dependent cancer recurrence. Hormones can stimulate the growth of estrogen-sensitive breast cancer cells, increasing the risk of cancer recurrence.
Therefore, it is crucial for the nurse to inform the client with a history of breast cancer that HT is not recommended.
Choices B, C, and D are not directly contraindications for HT in menopausal clients, as long as these conditions are well-controlled and monitored.
Question 2 of 5
A nurse is teaching a client who has been taking prednisone to treat asthma and has a new prescription to discontinue the medication. The nurse should explain to the client to reduce the dose gradually to prevent which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Adrenocortical insufficiency. Gradually reducing prednisone dose is important as prednisone suppresses the body's natural production of cortisol. Abrupt discontinuation can lead to adrenal insufficiency due to the sudden decrease in cortisol levels. This can result in symptoms such as fatigue, weakness, weight loss, and hypotension. Osteoporosis (
A) is a long-term side effect of prednisone but not a concern with dose reduction. Hypoglycemia (
B) and Hyperkalemia (
C) are not typically associated with prednisone withdrawal.
Question 3 of 5
A nurse is teaching a group of newly licensed nurses on effective techniques for counseling clients about sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because asking about the client's exposure to any past or present STIs is crucial for effective counseling. Understanding the client's history helps in assessing risk factors, determining appropriate interventions, and providing tailored education. It also promotes trust and open communication.
Choice B is incorrect as advising clients not to disclose their sexual history hinders the nurse's ability to provide comprehensive care and support.
Choice C is incorrect because focusing only on present symptoms may overlook important information needed for proper assessment and management.
Choice D is incorrect as only asking about high-risk behavior limits the scope of the assessment and may miss potential risk factors.
Question 4 of 5
A nurse is monitoring a client who has a chest tube in place connected to wall suction due to a right-sided pneumothorax. The client complains of chest burning. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Repositioning the client can help alleviate chest burning caused by the chest tube.
Question 5 of 5
A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face, and both forearms. Which of the following is the priority action the nurse should take?
Correct Answer: A
Rationale: The correct answer is A: Inspect the mouth for signs of inhalation injuries. This is the priority action because inhalation injuries can be life-threatening and must be assessed immediately in burn patients. Burns to the face and chest increase the risk of inhalation injuries due to the proximity to the airway. Administering pain medication, placing the client on oxygen therapy, and starting an IV line are important interventions but inspecting the mouth for signs of inhalation injuries takes precedence in this situation to ensure the client's airway is not compromised.