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 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 2 of 5
A nurse on an intensive care unit is planning care for a client who has increased intracranial pressure following a head injury. Which of the following IV medications should the nurse plan to administer?
Correct Answer: C
Rationale: The correct answer is C: Mannitol. Mannitol is an osmotic diuretic that helps reduce cerebral edema by drawing water out of brain tissue. This helps decrease intracranial pressure in clients with head injuries. Propranolol (
A) is a beta-blocker used for hypertension, not specifically for intracranial pressure. Dobutamine (
B) is a beta-adrenergic agonist used for cardiac support, not for intracranial pressure. Chlorpromazine (
D) is an antipsychotic medication and does not address intracranial pressure. In summary, Mannitol is the appropriate choice for managing increased intracranial pressure due to its osmotic diuretic properties.
Question 3 of 5
A nurse is admitting a client who reports tightness in their chest that radiates to left arm. Which of the following findings require immediate follow-up?
Correct Answer: B
Rationale: The correct answer is B: Heart rate 110/min and irregular. This finding indicates potential cardiac issues like myocardial infarction. Immediate follow-up is necessary to assess for any life-threatening conditions. The other options are not as urgent. A: Temperature within normal range, C: Respiratory rate slightly elevated but not critical, D: Elevated blood pressure but not as concerning as irregular heart rate.
Question 4 of 5
A nurse is caring for a client who has moderate Alzheimer's disease. During weekly home visits, the nurse notices that the client's caregiver is tired, irritable, and impatient with the client. Which of the following actions should the nurse recommend to the caregiver?
Correct Answer: B
Rationale: The correct answer is B: Consider respite care services. Respite care provides temporary relief to caregivers, allowing them to take a break from their caregiving responsibilities. This is important for the caregiver's well-being and can prevent burnout. It also ensures the client receives continuous care. Pursuing local protective services (
A) may escalate the situation unnecessarily. Taking nonprescription sleeping medication (
C) is not a long-term solution and may have adverse effects. Contacting hospice services for end-of-life care (
D) is premature and not appropriate for a client with moderate Alzheimer's disease.
Question 5 of 5
A home health nurse is assessing a client who has pernicious anemia. Which of the following is an expected manifestation that poses a risk to the client's safety?
Correct Answer: B
Rationale: The correct answer is B: Paresthesia. Pernicious anemia leads to Vitamin B12 deficiency, causing nerve damage and paresthesia (tingling or burning sensation). This poses a risk to the client's safety as it can affect their balance and coordination, increasing the risk of falls and injuries. Loss of hearing (
A), muscle wasting (
C), and changes in vision (
D) are potential manifestations of pernicious anemia but do not directly pose a risk to safety like paresthesia.