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 is receiving peritoneal dialysis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Report cloudy dialysate drainage to the provider. Cloudy dialysate drainage can indicate infection, leading to peritonitis. The nurse should report this immediately for further evaluation and treatment to prevent complications. Lowering the drainage bag below the abdomen (
B) can cause backflow, increasing the risk of contamination. Encouraging fluid intake of 3L per day (
C) is a general recommendation but not specific to peritoneal dialysis. Using sterile gloves only when removing the catheter (
D) is incorrect as sterile technique is required during all catheter manipulations in peritoneal dialysis.
Question 2 of 5
A nurse is providing teaching to a client who has a new prescription for cephalexin oral suspension. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will keep the medication refrigerated." This is correct because cephalexin oral suspension should be stored in the refrigerator to maintain its potency and stability. Storing it at room temperature may lead to degradation of the medication.
Choice B is incorrect as cephalexin should be taken as prescribed, not mixed with juice.
Choice C is incorrect as the full course of antibiotics should be completed even if the client feels better.
Choice D is incorrect as cephalexin can be taken with or without food.
Question 3 of 5
A nurse is caring for a client who is 3 hr postoperative and exhibiting signs of hypovolemia. Which of the following findings should the nurse identify as a manifestation of hypovolemia?
Correct Answer: A
Rationale: The correct answer is A: Rapid pulse rate. Following surgery, hypovolemia can occur due to fluid loss. A rapid pulse rate is a common manifestation of hypovolemia as the body compensates for decreased blood volume by increasing heart rate to maintain perfusion. Bradycardia (
B) is unlikely with hypovolemia as the body tries to increase cardiac output. Hypertension (
C) is not typical in hypovolemia as blood pressure tends to decrease. Peripheral edema (
D) is associated with fluid overload, not hypovolemia.
Question 4 of 5
A nurse is completing an admission assessment for a client who has bacterial meningitis. Which of the following personal protective equipment should the nurse use while caring for the client?
Correct Answer: A
Rationale: The correct answer is A: Surgical mask. The nurse should use a surgical mask when caring for a client with bacterial meningitis to prevent the spread of infectious droplets. A surgical mask is sufficient for this infection, as it primarily spreads through respiratory droplets. Using an N95 respirator, sterile gloves, or a gown and face shield would be unnecessary and excessive for this particular situation, as they are typically reserved for airborne precautions or when there is a high risk of contact with bodily fluids. Thus, the use of a surgical mask is the most appropriate and effective choice in this scenario.
Question 5 of 5
A nurse notes that a clients eyes are protruding slightly from their orbits. Which of the following laboratory findings should the nurse expect?
Correct Answer: B
Rationale: The nurse should expect increased T4 levels in a client with slightly protruding eyes, known as exophthalmos, as it is a classic sign of hyperthyroidism, where the thyroid gland is overactive. Thyroid hormones, such as T4, are responsible for regulating metabolism, and elevated levels can lead to symptoms like exophthalmos. Decreased TSH levels (choice
A) would actually be seen in primary hyperthyroidism due to negative feedback. Elevated calcium levels (choice
C) are more indicative of hyperparathyroidism. Low hemoglobin levels (choice
D) are not typically associated with exophthalmos or hyperthyroidism.