ATI RN
RN ATI Adult Medsurg Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale:
Correct Answer: A: You will not be able to eat or drink after the procedure until you are able to cough.
Rationale: It is important for the client to know that they will not be able to eat or drink post-bronchoscopy until they can cough effectively to prevent aspiration. This instruction reduces the risk of complications such as aspiration pneumonia. The nurse should emphasize the importance of clearing secretions by coughing before resuming oral intake.
Summary of Incorrect
Choices:
B: Taking deep breaths through the nose is not necessary during bronchoscopy; the procedure involves visualization of the airways, not breathing techniques.
C: Bronchoscopy is usually performed under sedation, and the client should be informed about the use of sedation to manage pain and discomfort.
D: Bed rest for 24 hours after bronchoscopy is unnecessary; the client can resume normal activities unless otherwise instructed by the healthcare provider.
Question 2 of 5
A nurse is assessing a client who recently had a myocardial infarction. Which of the following findings indicates that the client might be developing pulmonary edema? (Select all that apply.)
Correct Answer: A, C, D
Rationale: The correct answers are A, C, and D. Excessive somnolence (
A) can indicate inadequate oxygenation due to pulmonary edema. Pink frothy sputum (
C) is a classic sign of pulmonary edema, caused by fluid leaking into the lungs. Tachypnea (
D) is the body's response to decreased oxygen levels in the blood, characteristic of pulmonary edema. Epistaxis (
B) and urinary frequency (E) are not typically associated with pulmonary edema. In summary, the correct answers reflect respiratory distress and inadequate oxygenation, while the incorrect choices are unrelated symptoms.
Question 3 of 5
A home health nurse is inspecting a clients residence for electrical hazards as part of the agencys quality improvement plan. Which of the following findings should the nurse identify as a safety hazard?
Correct Answer: A
Rationale:
Correct Answer: A. An IV pump is plugged into an outlet near a sink.
Rationale: Plugging an IV pump near a sink poses a significant risk of electrical shock due to water exposure. Water conducts electricity and can lead to electrocution. This situation directly violates electrical safety guidelines.
Summary of other choices:
B. A lamp with a short cord in the bedroom: While a short cord may not be ideal, it does not pose an immediate safety hazard unless it is frayed or damaged.
C. A television plugged into a surge protector: This is a safe practice as surge protectors help prevent damage from power surges and do not pose a direct safety hazard.
D. The client uses a nightlight in the hallway: Nightlights are commonly used for safety and do not typically pose an electrical hazard if used correctly.
Question 4 of 5
A nurse is providing teaching to a client who has a new prescription for warfarin. Which of the following medications should the nurse instruct the client to avoid? (Select all that apply)
Correct Answer: C, E
Rationale: The correct answer is C (Aspirin) and E (Naproxen). Aspirin and Naproxen are both NSAIDs that can increase the risk of bleeding when taken with warfarin, which is an anticoagulant. The combination can lead to excessive anticoagulation and potential bleeding complications. Ferrous sulfate (
A) does not interact significantly with warfarin. Echinacea (
B) is an herbal supplement that may have interactions with some medications, but not warfarin specifically. Dextromethorphan (
D) is a cough suppressant and does not have a significant interaction with warfarin. In summary, Aspirin and Naproxen should be avoided with warfarin due to the increased risk of bleeding, while the other options do not have significant interactions with warfarin.
Question 5 of 5
A nurse is teaching a client how to obtain a specimen at home for a fecal occult blood test. Which of the following actions should the nurse instruct the client to take for 3 days prior to collecting the specimen?
Correct Answer: A
Rationale: The correct answer is A: Avoid eating red meat. Red meat can cause false positives in fecal occult blood tests due to the presence of heme iron which can be mistaken for blood. Instructing the client to avoid red meat for 3 days prior to collecting the specimen helps to ensure the accuracy of the test results.
Summary:
B: Increasing fiber intake does not directly impact the accuracy of the fecal occult blood test.
C: Taking an iron supplement can interfere with the test results by increasing the amount of iron in the stool, leading to false positives.
D: Drinking grapefruit juice is not relevant to the accuracy of the fecal occult blood test.