ATI RN
ATI RN Adult Medical Surgical 2023 Questions Questions
Extract:
Question 1 of 5
A nurse working in an outpatient clinic is planning a community education program about reproductive cancers. The nurse should identify which of the following manifestations as a possible indication of cervical cancer?
Correct Answer: A
Rationale: The correct answer is A: Painless vaginal bleeding. Cervical cancer can present with abnormal vaginal bleeding, which may include bleeding between periods, after intercourse, or post-menopause. This is due to the abnormal growth of cells in the cervix. Frequent diarrhea (
B), urinary hesitancy (
C), and unexplained weight gain (
D) are not typical manifestations of cervical cancer. Diarrhea and urinary hesitancy are more commonly associated with gastrointestinal or urinary tract issues, while unexplained weight gain can be linked to various factors such as hormonal imbalances or dietary changes.
Question 2 of 5
A nurse on an intensive care unit is planning care for a client who has increased intracranial pressure following a head injury. Which of the following IV medications should the nurse plan to administer?
Correct Answer: C
Rationale: The correct answer is C: Mannitol. Mannitol is an osmotic diuretic that helps reduce intracranial pressure by drawing fluid out of brain tissues. It is commonly used in the management of increased intracranial pressure in clients with head injuries. Propranolol (
A) is a beta-blocker used for hypertension and anxiety, not for reducing intracranial pressure. Dobutamine (
B) is a beta-1 agonist used for cardiac support, not for managing intracranial pressure. Chlorpromazine (
D) is an antipsychotic medication and is not indicated for reducing intracranial pressure.
Question 3 of 5
A nurse is planning care for an older adult client who has a history of dementia and is admitted following surgical repair of a hip fracture. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Play serene soothing music. Music therapy has been shown to be effective in reducing anxiety and agitation in individuals with dementia. Serene music can help create a calming environment, promoting relaxation and potentially improving the client's overall well-being. Encouraging visits from friends (
Choice
A) may overwhelm the client with dementia. Applying restraints to the upper extremities (
Choice
B) is not recommended as it can lead to physical and psychological harm. Keeping the over-the-bed light on (
Choice
D) may disrupt the client's sleep and exacerbate confusion.
Question 4 of 5
A nurse is assessing a preoperative client for allergies. Which of the following client statements would the nurse identify as a risk for an allergy to latex?
Correct Answer: A
Rationale: The correct answer is A because a client who experiences a rash when eating strawberries may have a latex allergy due to cross-reactivity between latex and certain fruits like strawberries. This is known as latex-fruit syndrome. The other choices (B, C,
D) do not indicate a potential latex allergy and are unrelated symptoms. It's important for the nurse to recognize this risk factor to prevent an allergic reaction during surgery.
Question 5 of 5
A nurse is providing teaching to a client who is considering a total hip arthroplasty. The client asks the nurse, 'What happens if I need a blood transfusion during my surgery?' Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C: "You can donate your own blood a few weeks prior to this surgery." This is the correct answer because autologous blood donation involves donating your own blood before surgery to be transfused back to you if needed. This reduces the risk of transfusion reactions and ensures a compatible blood match. Option A is incorrect because family members are not typically required to donate blood for surgery. Option B is incorrect as total hip arthroplasty can involve significant blood loss. Option D is incorrect as even with screened donor blood, transfusion reactions can still occur.