ATI RN
RN ATI Adult Medsurg Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is receiving intermittent IV fluids via a peripherally inserted central catheter (PICC). Which of the following information should the nurse include in the clients plan of care?
Correct Answer: A
Rationale: The correct answer is A: Assess the PICC infusion system systematically. This is essential to monitor for signs of infection, occlusion, or dislodgement of the catheter. Regular assessment can help identify any issues early and prevent complications.
Summary:
B: Flushing the line only before infusing medication is incorrect as regular flushing is necessary to maintain catheter patency.
C: Using a sterile dressing every 7 days is incorrect as the dressing should be changed according to facility protocol or if it becomes soiled or loose.
D: Allowing the catheter to remain uncapped when not in use is incorrect as it can increase the risk of contamination and infection.
Question 2 of 5
A nurse is teaching a client who is scheduled to receive radioactive iodine therapy for treatment of hyperthyroidism. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Use disposable utensils for meals. This is important to prevent contamination of utensils by the radioactive iodine, which can be harmful to others. A - Avoiding dairy products is irrelevant for radioactive iodine therapy. C - Sleeping next to family members can expose them to radiation. D - Increasing iodine-rich foods can interfere with the therapy. Thus, B is the most appropriate instruction to include in the teaching.
Question 3 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 4 of 5
A nurse is assessing a client who has a history of type 2 diabetes mellitus. The nurse should identify which of the following findings as an indication of a microvascular complication?
Correct Answer: C
Rationale: The correct answer is C: Retinopathy. In type 2 diabetes mellitus, microvascular complications involve damage to small blood vessels. Retinopathy specifically affects the blood vessels in the retina, leading to vision problems. Peripheral neuropathy (
A) is a macrovascular complication affecting nerves. Hypertension (
B) is a common comorbidity in diabetes but not a direct microvascular complication. Stroke (
D) is a macrovascular complication involving larger blood vessels in the brain.
Therefore, the presence of retinopathy is a clear indication of a microvascular complication in a client with type 2 diabetes mellitus.
Question 5 of 5
A nurse is assessing a client who takes salmeterol to treat moderate asthma. Which of the following findings should indicate to the nurse that the medication has been effective?
Correct Answer: B
Rationale: The correct answer is B because an increase in the client's daily peak expiratory flow (PEF) by 85% above their personal best indicates improved lung function, which is a positive response to salmeterol. This demonstrates that the medication is effectively managing the asthma symptoms.
Choice A is incorrect because decreased mucus production is not a direct indicator of salmeterol's effectiveness in treating asthma.
Choice C is incorrect as the respiratory rate alone does not provide specific information about the medication's effectiveness.
Choice D is incorrect since the absence of nighttime coughing may be due to various factors and not solely because of salmeterol's effectiveness.