ATI RN
ATI Medsurg Proctored Final Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing discharge instructions with a client following a right cataract extraction. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week. This instruction is crucial after a cataract extraction to prevent any strain on the eye during the initial healing period. Lifting heavy objects can increase intraocular pressure and potentially lead to complications.
Choice B (Take a warm shower every day) is not directly related to post-operative care for a cataract extraction.
Choice C (Resume regular activities immediately) is incorrect as the client should avoid strenuous activities, including heavy lifting, to allow proper healing.
Choice D (Avoid all physical activity for the next month) is overly restrictive and unnecessary. It's important to provide specific, clear, and relevant instructions to support the client's recovery.
Question 2 of 5
A nurse is teaching a client about the causes of osteoporosis. The nurse should include which of the following types of medication therapy as a risk factor for osteoporosis?
Correct Answer: C
Rationale: The correct answer is C: Steroids. Steroids, specifically glucocorticoids, are known to increase the risk of osteoporosis by decreasing bone formation and increasing bone resorption. Long-term use of steroids can lead to bone loss, making individuals more susceptible to fractures. Thyroid hormones (
A) do not directly cause osteoporosis. Antihypertensives (
B) and insulin (
D) are not associated with increased risk of osteoporosis.
Question 3 of 5
A nurse is assessing a client before a packed RBC transfusion. What data is most important to obtain?
Correct Answer: B
Rationale: The correct answer is B: Temperature. Before a packed RBC transfusion, it is crucial to assess the client's temperature as hyperthermia can indicate a possible transfusion reaction. Monitoring temperature helps in early detection and intervention. Blood pressure (
A) is important but not the most crucial in this context. Respiratory rate (
C) and oxygen saturation (
D) are relevant but may not indicate an immediate issue with the transfusion. Other choices are not provided.
Question 4 of 5
A nurse in an ophthalmology clinic assesses a client suspected of having cataracts. What is an expected symptom?
Correct Answer: C
Rationale: The correct answer is C: Decreased ability to perceive colors. Cataracts cause clouding of the eye's lens, leading to a decrease in the perception of colors. Eye pain (
A) is not a typical symptom of cataracts. Sudden vision loss (
B) is more commonly associated with conditions like retinal detachment. Excessive tearing (
D) is not a prominent symptom of cataracts. Make sure to assess for other symptoms like blurred vision, sensitivity to light, and difficulty seeing at night.
Question 5 of 5
A nurse assesses a client 2 hours after TURP. What indicates a complication?
Correct Answer: B
Rationale: The correct answer is B: Burgundy-colored urine output. This indicates a complication post-TURP due to potential bleeding. Clear urine output (
A) is normal. Mild pain at the incision site (
C) is expected. Temperature of 98.6°F (
D) is within normal range.