ATI RN
ATI Medsurg Proctored Final Exam Questions
Extract:
Question 1 of 5
A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension, and has a BMI of 26. Which of the following goals should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: The client will walk for 30 min 5 days a week. Walking is a feasible and effective form of exercise for overall health promotion. It helps improve cardiovascular health, which is important for someone with hypertension. It also aids in weight management, addressing the client's elevated BMI. Additionally, it can assist in smoking cessation efforts by reducing cravings and stress. Quitting smoking (choice
B) is crucial but may require a longer timeline. Reducing BMI to 22 in 6 months (choice
C) may be too aggressive and unrealistic. Eating low-fat meals (choice
D) is beneficial but focusing solely on diet may not address the client's overall health needs.
Question 2 of 5
A nurse is assessing a client for hypoxemia during an asthma attack. Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Agitation. During an asthma attack, hypoxemia can lead to decreased oxygen supply to the brain, causing agitation due to hypoxia. Cyanosis (
A) is a bluish discoloration of the skin and mucous membranes, indicating severe hypoxemia. Hypotension (
C) is not typically associated with hypoxemia in asthma. Dizziness (
D) is more commonly seen in conditions like hyperventilation rather than hypoxemia. In summary, agitation is the most likely manifestation of hypoxemia during an asthma attack due to decreased oxygen supply to the brain.
Question 3 of 5
A nurse is assessing a client before a packed RBC transfusion. What data is most important to obtain?
Correct Answer: B
Rationale: The correct answer is B: Temperature. Before a packed RBC transfusion, it is crucial to assess the client's temperature as hyperthermia can indicate a possible transfusion reaction. Monitoring temperature helps in early detection and intervention. Blood pressure (
A) is important but not the most crucial in this context. Respiratory rate (
C) and oxygen saturation (
D) are relevant but may not indicate an immediate issue with the transfusion. Other choices are not provided.
Question 4 of 5
A female middle adult client tells a nurse that she tested positive for a mutant BRCA1 gene. The nurse should recognize that the client is at an increased risk for which of the following situations?
Correct Answer: A
Rationale: The correct answer is A: Developing breast cancer. The BRCA1 gene mutation is associated with an increased risk of breast cancer in women. The mutation affects the body's ability to repair damaged DNA, leading to a higher likelihood of developing breast cancer. This risk is significantly higher in women with the mutant BRCA1 gene compared to those without it.
Choices B, C, and D are incorrect because the BRCA1 gene mutation is not specifically linked to an increased risk of ovarian, uterine, or cervical cancer.
Therefore, the client should be counseled and monitored closely for early detection and prevention of breast cancer.
Question 5 of 5
A client is receiving treatment for stage IV ovarian cancer and asks the nurse to discuss her prognosis. The client plans to have aggressive surgical, radiation, and chemotherapy treatments. Which of the following prognoses should the nurse discuss with the client?
Correct Answer: A
Rationale: The correct answer is A: Poor. In stage IV ovarian cancer, the cancer has spread beyond the ovaries to distant organs, resulting in a poor prognosis. The aggressive treatments may help manage symptoms and prolong survival but the overall prognosis remains poor due to the advanced stage of the cancer.
Choice B (Favorable) is incorrect because stage IV ovarian cancer has a poor prognosis.
Choice C (Uncertain) is incorrect as the prognosis for stage IV ovarian cancer is generally known to be poor.
Choice D (Excellent) is incorrect as stage IV ovarian cancer is not associated with an excellent prognosis due to its advanced stage.