ATI RN
ATI Medsurg Proctored Final Exam Questions
Extract:
Question 1 of 5
A nurse teaches a client about cervical polyps. What is an expected symptom?
Correct Answer: C
Rationale: The correct answer is C: Postcoital bleeding. Cervical polyps are benign growths on the cervix that can cause postcoital bleeding due to contact with the polyp during intercourse. Pelvic pain, heavy menstrual bleeding, and urinary incontinence are not typical symptoms of cervical polyps. Pelvic pain may occur in other conditions like endometriosis. Heavy menstrual bleeding can be a symptom of fibroids or hormonal imbalances. Urinary incontinence is more commonly associated with pelvic floor disorders or urinary tract infections. Postcoital bleeding specifically points to cervical polyps as the likely cause.
Question 2 of 5
A nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as personal protective equipment when taking which of the following actions?
Correct Answer: D
Rationale: The correct answer is D: Completing a dressing change. When completing a dressing change for a client who is HIV positive and postoperative, the nurse should wear a gown as personal protective equipment to prevent potential exposure to blood or body fluids. This is crucial for infection control and to protect both the nurse and the client.
Choice A: Changing the client's linens does not necessarily require wearing a gown unless there is a risk of exposure to blood or body fluids.
Choice B: Administering oral medications does not require wearing a gown as there is no risk of exposure to blood or body fluids.
Choice C: Taking vital signs also does not require wearing a gown unless there is a possibility of exposure to blood or body fluids during the procedure.
In summary, completing a dressing change involves the risk of exposure to blood or body fluids, hence the need for wearing a gown. Other actions listed do not carry the same level of risk, therefore do not require the use of a gown as personal protective
Question 3 of 5
A nurse is planning a teaching session about hysterosalpingography for a client who has a diagnosis of infertility. The nurse should include which of the following information in the teaching plan?
Correct Answer: A
Rationale: The correct answer is A: The client might experience shoulder pain following the procedure. This is because hysterosalpingography involves the injection of contrast dye into the uterus and fallopian tubes, which can cause referred pain to the shoulder due to irritation of the diaphragm. This information is crucial for the client to be aware of potential side effects.
The other choices are incorrect:
B: The client might experience nausea and vomiting after the procedure - This is not a common side effect of hysterosalpingography.
C: The client will need to stay in bed for 24 hours post-procedure - There is no requirement for prolonged bed rest after the procedure.
D: The client should avoid drinking fluids before the procedure - In fact, it is recommended to drink plenty of fluids before the procedure to help flush out the contrast dye.
Question 4 of 5
A nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Limit the number of health care workers entering the room. This is important because immunosuppressed clients are at higher risk for infections. By limiting the number of health care workers entering the room, the nurse can reduce the client's exposure to potential pathogens. This helps to maintain a clean and controlled environment for the client, decreasing the risk of acquiring infections.
Choice B is incorrect because social activities may expose the client to a higher risk of infections from others.
Choice C is incorrect because administering a flu vaccine during chemotherapy may not be effective due to the client's compromised immune system.
Choice D is incorrect as providing fresh fruits and vegetables does not directly address the risk of infections from health care workers.
Question 5 of 5
A nurse at a rehabilitation center is planning care for a client who had a left hemispheric cerebrovascular accident (CVA) 3 weeks ago. Which of the following goals should the nurse include in the client's rehabilitation program?
Correct Answer: A
Rationale: The correct answer is A: Establish the ability to communicate effectively. Communication is a key aspect affected by left hemispheric CVA, which can lead to aphasia or difficulty in speaking and understanding language. By prioritizing communication goals, the nurse can enhance the client's quality of life, facilitate social interactions, and improve overall rehabilitation outcomes. Increasing mobility (
B) and independence in activities of daily living (
C) are important but may not directly address the communication deficits. Preventing falls (
D) is also crucial but not specific to the client's primary deficit.