ATI LPN
ATI Medical Surgical Proctored Exam 2019 Quizlet
1. Which assessment finding indicates a client's readiness to leave the nursing unit for a bronchoscopy?
- A. Client denies allergies to contrast media.
- B. Skin prep to insertion site completed.
- C. On-call sedation administered.
- D. Oxygen at 2 L/minute via nasal cannula.
Correct answer: C
Rationale: Administering on-call sedation is crucial before a bronchoscopy to ensure the client is comfortable and adequately prepared for the procedure. Sedation helps reduce anxiety, discomfort, and ensures the client remains still during the bronchoscopy, enabling the healthcare provider to perform the procedure effectively.
2. Which is the correct method for teaching a client to use a cane when they have left-leg weakness?
- A. Use the cane on the weaker side of the body
- B. Advance the cane and the strong leg together
- C. Maintain two points of support on the floor at all times
- D. Advance the cane 30 to 45 cm (12-18 in) with each step
Correct answer: C
Rationale: The correct method for teaching a client to use a cane when they have left-leg weakness is to maintain two points of support on the floor at all times. This approach ensures stability and helps the client maintain balance while using the cane. Choice A is incorrect because the cane should be used on the stronger side of the body to provide additional support. Choice B is incorrect as advancing the cane and the strong leg together may compromise stability. Choice D is incorrect as advancing the cane too far with each step can lead to imbalance and falls.
3. Which of the following is a benefit of antenatal care?
- A. Early detection of pregnancy complications
- B. Increased risk of preterm labor
- C. Decreased maternal weight gain
- D. Delayed fetal growth
Correct answer: A
Rationale: Antenatal care plays a crucial role in the early detection and management of pregnancy complications, allowing healthcare providers to intervene promptly and improve outcomes for both the mother and the baby. Monitoring for potential issues during antenatal care visits can help identify problems such as gestational hypertension, gestational diabetes, or fetal growth restrictions early on, enabling timely interventions to prevent complications.
4. A patient with generalized anxiety disorder (GAD) is prescribed buspirone. Which statement by the patient indicates effective understanding of the medication?
- A. I will take this medication only when I feel anxious.
- B. I should start feeling less anxious within a few days.
- C. This medication can be addictive if taken for a long time.
- D. It may take a few weeks for this medication to become effective.
Correct answer: D
Rationale: The correct answer is D because buspirone may take a few weeks to become effective in treating generalized anxiety disorder (GAD). Patients should be aware of this delay and not expect immediate relief from their symptoms. Choice A is incorrect because buspirone is typically taken regularly, not just when feeling anxious. Choice B is incorrect because the onset of action for buspirone is gradual, and patients should not expect immediate relief within a few days. Choice C is incorrect because buspirone is not considered addictive, unlike some other medications used for anxiety disorders.
5. A nurse is reinforcing teaching about home care for conjunctivitis with the parent of a school-age child. Which of the following information should the nurse include?
- A. Use a separate washcloth for the child
- B. Apply cold compresses to the eyes
- C. Apply warm compresses to the eyes
- D. Keep the child home until symptoms have resolved
Correct answer: A
Rationale: The correct answer is to use a separate washcloth for the child. This is important to prevent the spread of infection when a child has conjunctivitis. Using the same washcloth can lead to cross-contamination and further spread of the condition. Applying cold or warm compresses may provide comfort but do not address the prevention of spreading the infection. Keeping the child home until symptoms have resolved may be necessary, but the primary focus should be on preventing the spread of the infection within the household.
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