ATI RN
ATI Medsurg Proctored Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a postoperative client who has a chest tube connected to suction and a water-seal drainage system. Which of the following indicates to the nurse that the chest tube is functioning properly?
Correct Answer: A
Rationale: Fluctuation (tidaling) in the water-seal chamber during inspiration and expiration indicates the chest tube is functioning properly.
Question 2 of 5
A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?
Correct Answer: C
Rationale: The correct answer is C: Generalized urticaria. This finding indicates an allergic transfusion reaction because urticaria, or hives, is a common symptom of an allergic response. It is caused by histamine release in response to the foreign blood product. Chest pain (
A) is more indicative of a possible cardiac issue. Hypotension (
B) may suggest a hemolytic reaction due to rapid destruction of red blood cells. Fever (
D) is a common symptom of a febrile non-hemolytic transfusion reaction. Other choices are incorrect as they are not specific to an allergic reaction.
Question 3 of 5
A nurse is performing an ECG on a client who is experiencing chest pain. Which of the following statements should the nurse make?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Applying electrodes to the chest and extremities is necessary for a complete ECG recording. Electrodes are placed strategically to capture electrical activity of the heart. This statement informs the client about the procedure and ensures accurate results. Other options are incorrect because discomfort during the procedure is subjective and not guaranteed (
B), an ECG typically takes only a few minutes, not an hour (
C), and continuous heart rate monitoring is not required post-procedure unless indicated by the results (
D).
Question 4 of 5
A nurse is teaching a client with Addison's disease about its cause. What should the nurse say?
Correct Answer: B
Rationale: The correct answer is B: Addison's disease is caused by the lack of production of aldosterone by the adrenal gland. Aldosterone is a hormone produced by the adrenal glands that helps regulate blood pressure and electrolyte balance in the body. In Addison's disease, the adrenal glands do not produce enough aldosterone, leading to symptoms like low blood pressure, weakness, and electrolyte imbalances.
Choice A is incorrect because Addison's disease is not caused by the overproduction of growth hormone.
Choice C is incorrect as it mentions excess thyroid hormone, which is not related to Addison's disease.
Choice D is incorrect because Addison's disease is characterized by underactive, not overactive, adrenal glands.
Question 5 of 5
A female middle adult client tells a nurse that she tested positive for a mutant BRCA1 gene. The nurse should recognize that the client is at an increased risk for which of the following situations?
Correct Answer: A
Rationale: The correct answer is A: Developing breast cancer. The BRCA1 gene mutation is associated with an increased risk of breast cancer in women. The mutation affects the body's ability to repair damaged DNA, leading to a higher likelihood of developing breast cancer. This risk is significantly higher in women with the mutant BRCA1 gene compared to those without it.
Choices B, C, and D are incorrect because the BRCA1 gene mutation is not specifically linked to an increased risk of ovarian, uterine, or cervical cancer.
Therefore, the client should be counseled and monitored closely for early detection and prevention of breast cancer.