ATI RN
RN ATI Adult Medsurg Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse is teaching a client about self-management of their halo fixator device. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Place a small pillow under the head while lying supine. This is important to prevent hyperextension of the neck while lying down, ensuring proper alignment and comfort. Removing the vest (
B) compromises stability. Applying lotion (
C) can cause skin breakdown. Adjusting screws (
D) without proper training can lead to complications.
Question 2 of 5
A nurse is providing teaching to a client about strategies to manage menopausal symptoms. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Use water-based lubricant during intercourse to reduce discomfort. This instruction is important for managing menopausal symptoms like vaginal dryness and discomfort during intercourse. Water-based lubricants can help alleviate these symptoms. Option B is incorrect as taking estrogen supplements without consulting a provider can have risks and side effects. Option C is incorrect because limiting calcium intake is not recommended during menopause, as calcium is important for bone health. Option D is incorrect as avoiding physical activity can worsen menopausal symptoms and impact overall health.
Question 3 of 5
A nurse is caring for a client who has chronic venous insufficiency. Which of the following areas should the nurse assess for the presence of a venous ulcer?
Correct Answer: B
Rationale: The correct answer is B: Medial malleolus (ankle). Venous ulcers commonly occur in areas where there is poor circulation, such as the lower legs. The medial malleolus is a common site for venous ulcers in individuals with chronic venous insufficiency due to pooling of blood in the lower extremities. Assessing this area is crucial for early detection and appropriate management.
Choices A, C, and D are incorrect as venous ulcers typically develop in areas with high venous pressure and poor circulation, such as the lower legs, not at the tip of the toes, ball of the foot, or heel.
Question 4 of 5
A nurse in an emergency department is caring for a client who is confused, has a temperature of 40° C (104° F), a BP of 74/52 mm Hg, and a diagnosis of exertional heat stroke. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Administer oxygen using a high-concentration mask. In exertional heat stroke, the body's ability to regulate temperature is compromised, leading to confusion, high temperature, and low blood pressure. Oxygen therapy helps support oxygenation during heat stress. It takes priority to ensure adequate oxygenation and prevent hypoxia, which can worsen the client's condition.
Choices B, C, and D are incorrect. Giving cold fluids orally can potentially induce shock in a hypotensive client. Applying a heating pad can lead to further increase in body temperature. Encouraging the client to walk can exacerbate heat stress and increase the risk of collapse.
Question 5 of 5
A nurse is caring for a client who has a prescription for lactated Ringers by continuous IV infusion to replace output from an NG tube. Which of the following findings should indicate to the nurse that this therapy is effective?
Correct Answer: B
Rationale: The correct answer is B: Urine specific gravity 1.020. This finding indicates that the kidneys are effectively concentrating urine, which means fluid balance is being maintained. A specific gravity of 1.020 is within the normal range, suggesting adequate hydration. A high specific gravity like 1.035 (choice
A) indicates dehydration. Decreased skin turgor (choice
C) and dry mucous membranes (choice
D) are signs of dehydration, not effectiveness of therapy.