ATI RN
ATI Medical Surgical Proctored Exam 2023 With NGN Questions and Correct Answers Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has dementia and a history of wandering. Which of the following actions should the nurse plan to implement?
Correct Answer: C
Rationale: The correct answer is C: Use a bed alarm. This option promotes client safety by alerting the nurse when the client attempts to leave the bed, reducing the risk of wandering. Moving the client to a double room (
A) does not address the wandering behavior. Using chemical restraints (
B) is unethical and can lead to adverse effects. Encouraging excessive stimulation (
D) can escalate agitation and wandering behavior.
Question 2 of 5
A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer the plasma immediately after thawing. Fresh frozen plasma should be administered promptly after thawing to ensure optimal effectiveness and prevent clotting. Delaying administration can lead to decreased clotting factor activity.
Choice A is incorrect as a larger gauge needle is typically used for plasma transfusions.
Choice B is incorrect because fresh frozen plasma is often indicated for bleeding disorders, so holding the transfusion would be counterproductive.
Choice D is incorrect as fresh frozen plasma is usually infused rapidly, not over 4 hours.
Question 3 of 5
A nurse is planning care for a client who has developed nephrotic syndrome. Which of the following dietary recommendations should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Decrease protein intake. In nephrotic syndrome, there is increased protein loss in the urine, leading to hypoalbuminemia and edema. Decreasing protein intake helps reduce the workload on the kidneys and minimizes protein loss in the urine, supporting management of the condition. Increasing phosphorus intake (choice
A) is not recommended as it can worsen kidney function. Decreasing carbohydrate intake (choice
B) and increasing potassium intake (choice
D) are not directly related to managing nephrotic syndrome.
Question 4 of 5
A nurse is providing discharge teaching to a client who reports that they cannot afford their prescribed medication. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "I can arrange for a social worker to talk with you before you leave." This option is the most appropriate as it addresses the client's financial constraints by offering assistance in accessing support services. A social worker can help the client explore options for medication assistance programs, financial aid, or community resources. Option B is incorrect as it does not directly address the client's medication affordability issue. Option C suggests switching medications without considering the client's specific needs. Option D places the burden on the client to navigate the healthcare system for cost-effective solutions. Option A is the best choice as it prioritizes addressing the client's financial barriers through appropriate referral and support.
Question 5 of 5
A nurse is assessing a client who is postoperative following an open reduction and internal fixation (ORIF) of the femur. Which of the following assessments should be the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Pain assessment. Pain assessment should be the nurse's priority because postoperative pain management is crucial for the client's comfort, recovery, and overall well-being. Uncontrolled pain can lead to complications such as decreased mobility, respiratory issues, and delayed healing. Assessing and managing pain promptly can also prevent potential complications and promote early mobilization. The other choices are not the nurse's priority in this scenario. The Braden Scale assesses the risk of pressure ulcers, Morse Fall Risk Scale assesses the risk of falls, and nutritional assessment is important but not the priority immediately post-ORIF surgery.