ATI RN
ATI Medical Surgical Proctored Exam 2023
1. After a thoracentesis, a healthcare provider assesses a client. Which assessment finding warrants immediate action?
- A. The client rates pain as 5/10 at the site of the procedure.
- B. A small amount of drainage is noted from the site.
- C. Pulse oximetry reads 93% on 2 liters of oxygen.
- D. The trachea is deviated toward the opposite side of the neck.
Correct answer: D
Rationale: A deviated trachea indicates a tension pneumothorax, a life-threatening emergency. This condition can rapidly lead to respiratory failure and requires immediate intervention. The other assessment findings, such as pain level, mild drainage, and slightly decreased oxygen saturation, are within an expected range after a thoracentesis and do not indicate an immediate threat to the client's life.
2. A client has a new prescription for Clopidogrel. Which of the following instructions should the nurse include?
- A. Avoid taking aspirin while on this medication.
- B. Take this medication with food.
- C. Avoid eating foods high in potassium.
- D. Take this medication at bedtime.
Correct answer: A
Rationale: The correct answer is to instruct the client to avoid taking aspirin while on Clopidogrel. Clopidogrel is an antiplatelet medication that can increase the risk of bleeding. Aspirin and other NSAIDs can further potentiate this risk, so they should be avoided while taking Clopidogrel to reduce the chance of bleeding complications. Choices B, C, and D are incorrect. There is no specific instruction to take Clopidogrel with food or at bedtime. Avoiding foods high in potassium is not directly related to Clopidogrel use.
3. A client with generalized anxiety disorder (GAD) is being discharged. Which of the following instructions should the nurse not include in the discharge teaching?
- A. Practice relaxation techniques daily
- B. Avoid caffeine and alcohol
- C. Engage in regular physical activity
- D. Use benzodiazepines as the first-line treatment
Correct answer: D
Rationale: Discharge instructions for a client with GAD should include practicing relaxation techniques daily, avoiding caffeine and alcohol, engaging in regular physical activity, and seeking support from friends and family. Benzodiazepines are not recommended as the first-line treatment due to their potential for dependence and should not be included in the discharge teaching.
4. A nurse is assessing the IV infusion site of a client who reports pain at the site. The site is red, and there is warmth along the course of the vein. What should the nurse do?
- A. Increase the IV flow rate
- B. Discontinue the infusion
- C. Elevate the limb
- D. Apply a cold compress
Correct answer: B
Rationale: The correct answer is to discontinue the infusion (Choice B) as the signs described suggest phlebitis, an inflammation of the vein. Increasing the IV flow rate (Choice A) can exacerbate the condition by increasing the irritation. Elevating the limb (Choice C) and applying a cold compress (Choice D) are not the appropriate interventions for phlebitis. Elevation and cold therapy are more suitable for conditions like swelling or inflammation, but in this case, discontinuing the infusion is the priority to prevent further complications.
5. Which of the following foods is the best source of omega-3 fatty acids?
- A. Salmon
- B. Chicken
- C. Spinach
- D. Eggs
Correct answer: A
Rationale: Salmon is the correct answer as it is a rich source of omega-3 fatty acids, specifically EPA and DHA, which are known to be beneficial for heart health. Chicken, spinach, and eggs do not contain significant levels of omega-3 fatty acids compared to salmon. While eggs do contain some omega-3s, the amount is considerably lower than what is found in fatty fish like salmon.
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