ATI RN
ATI Medsurg Proctored Final Exam Questions
Extract:
Question 1 of 5
A nurse receives a unit of packed RBCs from a blood bank and notes that the time is 1130. The nurse should begin the infusion at which of the following times?
Correct Answer: A
Rationale: The correct answer is A. The nurse should begin the infusion as soon as possible after receiving the packed RBCs to prevent bacterial growth and ensure the blood's optimal efficacy. Delaying the infusion could increase the risk of contamination.
Choice B (one hour after receiving the blood) is incorrect because it unnecessarily delays the infusion.
Choice C (two hours after receiving the blood) is also incorrect as it further prolongs the time before starting the infusion.
Choice D (immediately after lunch break) is incorrect as it does not prioritize the immediate need to administer the blood. Starting the infusion promptly is crucial to prevent any adverse reactions or complications for the patient.
Question 2 of 5
A home health nurse assesses an older adult with vision loss due to glaucoma. What is a safety hazard?
Correct Answer: B
Rationale: The correct answer is B: Presence of scatter rugs in the kitchen. Scatter rugs pose a tripping hazard for individuals with vision loss, especially in areas like the kitchen where spills and slippery surfaces are common. The other choices are incorrect because: A - Bright overhead lighting can actually be beneficial for those with vision loss by improving visibility; C - Using contrasting colors can aid in distinguishing objects and pathways; D - Wearing slip-resistant shoes can help prevent falls.
Question 3 of 5
A nurse is providing discharge teaching to a client who has a new arteriovenous fistula in the right forearm. Which of the following manifestations should the nurse include in the teaching as a possible indication of venous insufficiency?
Correct Answer: B
Rationale: The correct answer is B: Pallor and numbness distal to the fistula site. This is indicative of venous insufficiency in a client with an arteriovenous fistula. Venous insufficiency occurs when there is inadequate venous return to the heart, leading to decreased blood flow and oxygen delivery to the tissues. Pallor and numbness are signs of decreased blood flow, which can occur when the fistula is not functioning properly. Cold and numbness (choice
A) may indicate arterial insufficiency, not venous. Redness and warmth (choice
C) are signs of inflammation, not venous insufficiency. Pain in the fistula site (choice
D) may be due to other reasons like infection or nerve compression, not necessarily venous insufficiency.
Question 4 of 5
A nurse is providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A. By stating that with the new medication, the client should experience fewer side effects, the client demonstrates understanding that the addition of hydrochlorothiazide may help reduce side effects compared to taking metoprolol alone. This indicates comprehension of the teaching provided by the nurse.
Choice B is incorrect because the client should not expect an increase in blood pressure with the new medication regimen.
Choice C is incorrect as it typically takes time for medications to reach their full effectiveness, so immediate results are not expected.
Choice D is incorrect because stopping medication when feeling better can lead to a worsening of hypertension and other health issues.
Overall, choice A is the best response as it shows an understanding of the medication change and its potential benefits.
Question 5 of 5
A nurse is teaching a group of newly licensed nurses on effective techniques for counseling clients about sexually transmitted infections (STIs). Which of the following statements should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because asking about the client's exposure to any past or present STIs is crucial for effective counseling. Understanding the client's history helps in assessing risk factors, determining appropriate interventions, and providing tailored education. It also promotes trust and open communication.
Choice B is incorrect as advising clients not to disclose their sexual history hinders the nurse's ability to provide comprehensive care and support.
Choice C is incorrect because focusing only on present symptoms may overlook important information needed for proper assessment and management.
Choice D is incorrect as only asking about high-risk behavior limits the scope of the assessment and may miss potential risk factors.