ATI Medical Surgical Proctored Exam 2023 With NGN Questions and Correct Answers -Nurselytic

Correct Answer: A

Rationale: The correct answer is A: "I can take another dose after 2 minutes." This statement indicates an understanding of the teaching because sublingual nitroglycerin is typically used for acute chest pain relief due to angina, and the client should take another dose if the pain persists after 5 minutes, up to a total of 3 doses at 5-minute intervals. This is crucial for managing angina attacks effectively.


Choice B is incorrect because the tablet should be placed under the tongue, not against the cheek and gum.
Choice C is incorrect because the tablet should not be chewed but allowed to dissolve under the tongue.
Choice D is incorrect because nitroglycerin should be taken at the onset of chest pain, not after the pain begins, for optimal efficacy.

Correct Answer: C

Rationale:
Correct Answer: C - Infuse 0.9% sodium chloride if the solution is not available.


Rationale: TPN is a specialized form of nutrition that must be administered precisely as prescribed to prevent complications. Infusing 0.9% sodium chloride instead of the prescribed TPN solution can lead to imbalanced nutrient intake and electrolyte disturbances. It is crucial to follow the prescribed TPN regimen accurately to meet the client's specific nutritional needs.

Incorrect

Choices:
A: Monitoring serum blood glucose during infusion is appropriate to ensure the client's glycemic control while on TPN.
B: Obtaining the client's weight daily is important to assess fluid status and adjust the TPN prescription as needed.
D: Verifying the TPN solution with another RN prior to infusion is a standard safety practice to prevent errors in administration.

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.

Correct Answer: B

Rationale: The correct answer is B: Stool for occult blood. Long-term use of ibuprofen can lead to gastrointestinal bleeding, which may not always present with visible blood in the stool. Monitoring for occult blood helps detect this potential side effect early.

Choices A, C, and D are not directly related to the adverse effects of ibuprofen use. Serum calcium is not typically affected by ibuprofen. Fasting blood glucose monitoring is more relevant for medications affecting glucose metabolism. Urine for white blood cells is not a common test for monitoring the side effects of ibuprofen.

Correct Answer: D

Rationale: The correct answer is D: Place a large-face clock in the client's bedroom. This is important for clients with Alzheimer's disease as they may have difficulty understanding the concept of time. A large-face clock with clear numbers can help the client orient themselves and maintain a sense of time. Keeping the client's bedroom dark at night (
A) may actually increase confusion and disorientation. Covering electrical outlets in the client's home with tape (
B) is not relevant to caring for a client with Alzheimer's disease. Hanging a monthly calendar in the client's bedroom (
C) may be overwhelming and confusing due to the client's cognitive difficulties.