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 hemiplegia. Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Place pillows between the client's knees when in a side-lying position. Placing pillows between the knees helps maintain proper alignment of the hips and spine, preventing the development of pressure ulcers and improving comfort for the client.
Choice A is incorrect as sitting on a rubber ring does not directly address the client's hemiplegia.
Choice B is incorrect because raising the head of the bed to a 90° angle may not be suitable for a client with hemiplegia due to potential issues with positioning and pressure distribution.
Choice D is incorrect as using moisturizing lotion while massaging bony prominences is not a specific intervention for hemiplegia care.
Question 2 of 5
A client who is deaf and communicates using sign language is being admitted by a nurse who does not know sign language. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Request an interpreter during the initial assessment. This is the best option because it ensures effective communication between the nurse and the client. By having a professional interpreter present, the nurse can accurately gather information, provide instructions, and address any concerns the client may have. Asking a family member to be present (
A) may not guarantee accurate communication. Familiarizing with sign language (
C) may not be sufficient for complex medical discussions. Using a board with pictures (
D) may not be effective for detailed conversations.
Question 3 of 5
A nurse is assessing a client who has anorexia. Which of the following findings should the nurse identify as a manifestation of malnutrition?
Correct Answer: A
Rationale: The correct answer is A: Dry skin. Malnutrition can lead to a deficiency in essential nutrients like vitamins and minerals, causing skin to become dry and flaky. This occurs due to a lack of proper hydration and nourishment. Alopecia (
B) is more commonly associated with conditions like stress or hormonal imbalances. Increased salivation (
C) is not typically linked to malnutrition but can be seen in conditions like GERD. Dolichocephaly (
D) refers to an elongated shape of the head and is not directly related to malnutrition. In summary, dry skin is a manifestation of malnutrition due to the lack of essential nutrients, while the other choices are more likely associated with different conditions or factors.
Question 4 of 5
A nurse is caring for a client who is experiencing an exacerbation of heart failure. Which of the following findings indicate potential improvement?
Correct Answer: D
Rationale: The correct answer is D: Potassium 4.3 mEq/L (3.5 to 5 mEq/L). In heart failure exacerbation, potassium levels can be affected due to medications or fluid shifts. A potassium level within the normal range indicates electrolyte balance, which is crucial for cardiac function. Hemoglobin (
Choice
A) and hematocrit (
Choice
B) are indicators of oxygen-carrying capacity and volume status, not directly related to heart failure improvement. White blood cell count (
Choice
C) is not specific to heart failure exacerbation.
Therefore, the correct answer is D as it reflects a positive change in electrolyte balance, essential for cardiac function.
Question 5 of 5
A nurse is caring for a client who has left-sided heart failure. Which of the following findings should indicate to the nurse that the client is experiencing a decrease in cardiac output?
Correct Answer: C
Rationale: The correct answer is C: Confusion. In left-sided heart failure, decreased cardiac output can lead to decreased perfusion to the brain, resulting in confusion. Weight gain (
A) is more indicative of fluid retention, distended abdomen (
B) is a sign of ascites or abdominal organ enlargement, and dyspnea (
D) is a common symptom of heart failure but not a direct indicator of decreased cardiac output.