ATI RN
ATI Medical Surgical Proctored Exam 2023 With NGN Questions and Correct Answers Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical record of a client who has nephrotic syndrome. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Proteinuria. In nephrotic syndrome, there is increased permeability of the glomerular filtration membrane, leading to excessive loss of proteins in the urine, specifically albumin. This results in proteinuria.
Choice A, hyperalbuminemia, is incorrect as nephrotic syndrome actually causes hypoalbuminemia due to protein loss.
Choice C, decreased serum lipid levels, is incorrect because nephrotic syndrome causes hyperlipidemia due to increased hepatic synthesis of lipoproteins.
Choice D, decreased coagulation, is incorrect as nephrotic syndrome is associated with hypercoagulability due to loss of anticoagulant proteins in the urine.
Question 2 of 5
A nurse is planning care for a client who has developed nephrotic syndrome. Which of the following dietary recommendations should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Decrease protein intake. In nephrotic syndrome, there is increased protein loss in the urine, leading to hypoalbuminemia and edema. Decreasing protein intake helps reduce the workload on the kidneys and minimizes protein loss in the urine, supporting management of the condition. Increasing phosphorus intake (choice
A) is not recommended as it can worsen kidney function. Decreasing carbohydrate intake (choice
B) and increasing potassium intake (choice
D) are not directly related to managing nephrotic syndrome.
Question 3 of 5
A nurse is caring for a client who has just returned from surgery with an external fixator to the left tibia. Which of the following assessment findings requires immediate intervention by the nurse?
Correct Answer: A
Rationale: The correct answer is A. Capillary refill time of 6 seconds in the toe indicates poor circulation, which is a concerning finding post-surgery with an external fixator. Immediate intervention is needed to prevent complications like tissue ischemia.
Choices B, C, and D do not require immediate intervention as they are within normal limits postoperatively. Blood in the drain is expected, the temperature is normal, and pain level 7 is manageable with appropriate pain management.
Question 4 of 5
A nurse enters a client's room and observes the client having a tonic-clonic seizure. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct action is to turn the client on their side (
Choice
C) during a tonic-clonic seizure to prevent aspiration and maintain a clear airway. This position helps saliva or vomit to drain out of the mouth, reducing the risk of choking. Obtaining vital signs (
Choice
A) and performing a neurologic check (
Choice
B) can wait until after the seizure is over. Notifying the rapid response team (
Choice
D) is not necessary for a single seizure unless complications arise.
Question 5 of 5
A nurse is caring for a client who has cervical cancer and is receiving internal radiation therapy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action for the nurse to take is to check if the radioactive device is in the correct position. This is crucial to ensure that the radiation therapy is being delivered accurately and effectively. By verifying the position of the radioactive device, the nurse can prevent potential harm to the client and ensure the success of the treatment.
Choice B is incorrect because limiting visitors' time does not directly relate to the safety and effectiveness of the radiation therapy.
Choice C is incorrect as asking visitors to remain 3 feet away does not address the primary concern of verifying the device's position.
Choice D is also incorrect as lead-lined aprons are typically used by healthcare providers during procedures, not by the client.