ATI TEST NURSING
Attempt:
Score :
Question 1: Report an IssueReport Wrong Answer
The nurse is caring for a client admitted to the unit for possible hyperthyroidism. The client describes weakness,
nervousness, a racing heartbeat, and recent weight loss of 15 pounds (6.8 kg). Which action should the nurse
implement first?
A. Pace the client's care to provide periods of rest.
B. Make arrangements for radioactive iodine therapy.
C. Administer beta-adrenergic blocking agent.
D. Monitor the client's vital signs frequently.
Explanation
Correct Answer : D
Pacing the client's care to provide periods of rest is important for managing fatigue and preventing overexertion.
However, it is not the first action the nurse should take in this situation. Monitoring vital signs is crucial to assess the
client's current condition and detect any immediate complications.
Making arrangements for radioactive iodine therapy is a treatment option for hyperthyroidism. However, this is not the
first action the nurse should take. The nurse needs to assess the client's condition and stabilize any immediate issues
before considering long-term treatment options.
Administering a beta-adrenergic blocking agent can help manage symptoms such as a racing heartbeat and
nervousness. While this may be part of the treatment plan, it is not the first action the nurse should take. Monitoring
vital signs is essential to determine the appropriate interventions.
Monitoring the client's vital signs frequently is the first action the nurse should take. This helps assess the client's
current condition, detect any immediate complications, and guide further interventions. It is crucial to ensure the
client's stability before implementing other care measures.
Discussion Section
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Question 2: Report an IssueReport Wrong Answer
The nurse administers galantamine hydrobromide to a client with early onset Alzheimer's disease. Which nursing
problem addresses its therapeutic use?
A. Fluid volume excess.
B. Disturbed thought processes.
C. Altered breathing pattern.
Explanation
Correct Answer : B
Fluid volume excess is not related to the therapeutic use of galantamine hydrobromide. This medication is used to
improve cognitive function in clients with Alzheimer's disease, which is more closely associated with disturbed
thought processes.
Disturbed thought processes are directly related to the therapeutic use of galantamine hydrobromide. This medication
helps enhance cognitive function by increasing the levels of acetylcholine in the brain, which is crucial for memory and
thinking. Clients with Alzheimer's disease often experience cognitive decline, and this medication aims to mitigate
those symptoms.
, Altered breathing pattern is not addressed by the therapeutic use of galantamine hydrobromide. This medication is
specifically used to treat cognitive symptoms associated with Alzheimer's disease, rather than respiratory issues.
Discussion Section
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Question 3: Report an IssueReport Wrong Answer
A client in the operating room received succinylcholine. The client is experiencing muscle rigidity and has an extremely
high temperature. Which action should the nurse implement?
A. Call the postanesthetic care unit (PACU) nurse to prepare for prolonged ventilatory support.
B. Determine if prescribed antibiotics were administered preoperatively.
C. Hold a prescription for dantrolene until fever is reduced.
D. Prepare ice packs for placement in the client's axillary area.
Explanation
Correct Answer : D
Calling the postanesthetic care unit (PACU) nurse to prepare for prolonged ventilatory support is important in certain
situations. However, in this case, the client's immediate concern is the extremely high temperature, which needs to be
addressed urgently.
Determining if prescribed antibiotics were administered preoperatively is a standard procedure, but it is not relevant to
the acute situation of muscle rigidity and extremely high temperature caused by succinylcholine. The nurse should
focus on immediate cooling measures.
Holding a prescription for dantrolene until the fever is reduced is not appropriate. Dantrolene is actually used to treat
malignant hyperthermia, which is characterized by muscle rigidity and a high temperature. It should be administered
immediately in such cases.
Preparing ice packs for placement in the client's axillary area is a direct and immediate action to help reduce the
client's extremely high temperature. Cooling measures are crucial to manage hyperthermia and prevent further
complications.
Discussion Section
A
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Question 4: Report an IssueReport Wrong Answer
A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile duct. Which finding is most
important for the nurse to report to the healthcare provider?
A. Clay coloured stool.
B. Distended, hard, and rigid abdomen.
C. Bile-stained emesis.
D. Radiating, sharp pain in right shoulder.
Explanation
Correct Answer : B
Clay-coloured stool is a symptom of bile duct obstruction. It indicates that bile is not reaching the intestines to help
digest food. While this is important to note, it is not the most urgent finding that requires immediate reporting to the
healthcare provider.
A distended, hard, and rigid abdomen is a sign of possible peritonitis or other severe abdominal complications. This
finding indicates a medical emergency that requires immediate attention and intervention by the healthcare provider.
Prompt reporting is essential to prevent further complications and ensure appropriate treatment.
Attempt:
Score :
Question 1: Report an IssueReport Wrong Answer
The nurse is caring for a client admitted to the unit for possible hyperthyroidism. The client describes weakness,
nervousness, a racing heartbeat, and recent weight loss of 15 pounds (6.8 kg). Which action should the nurse
implement first?
A. Pace the client's care to provide periods of rest.
B. Make arrangements for radioactive iodine therapy.
C. Administer beta-adrenergic blocking agent.
D. Monitor the client's vital signs frequently.
Explanation
Correct Answer : D
Pacing the client's care to provide periods of rest is important for managing fatigue and preventing overexertion.
However, it is not the first action the nurse should take in this situation. Monitoring vital signs is crucial to assess the
client's current condition and detect any immediate complications.
Making arrangements for radioactive iodine therapy is a treatment option for hyperthyroidism. However, this is not the
first action the nurse should take. The nurse needs to assess the client's condition and stabilize any immediate issues
before considering long-term treatment options.
Administering a beta-adrenergic blocking agent can help manage symptoms such as a racing heartbeat and
nervousness. While this may be part of the treatment plan, it is not the first action the nurse should take. Monitoring
vital signs is essential to determine the appropriate interventions.
Monitoring the client's vital signs frequently is the first action the nurse should take. This helps assess the client's
current condition, detect any immediate complications, and guide further interventions. It is crucial to ensure the
client's stability before implementing other care measures.
Discussion Section
A
0 Pulse Checks
No comments
Question 2: Report an IssueReport Wrong Answer
The nurse administers galantamine hydrobromide to a client with early onset Alzheimer's disease. Which nursing
problem addresses its therapeutic use?
A. Fluid volume excess.
B. Disturbed thought processes.
C. Altered breathing pattern.
Explanation
Correct Answer : B
Fluid volume excess is not related to the therapeutic use of galantamine hydrobromide. This medication is used to
improve cognitive function in clients with Alzheimer's disease, which is more closely associated with disturbed
thought processes.
Disturbed thought processes are directly related to the therapeutic use of galantamine hydrobromide. This medication
helps enhance cognitive function by increasing the levels of acetylcholine in the brain, which is crucial for memory and
thinking. Clients with Alzheimer's disease often experience cognitive decline, and this medication aims to mitigate
those symptoms.
, Altered breathing pattern is not addressed by the therapeutic use of galantamine hydrobromide. This medication is
specifically used to treat cognitive symptoms associated with Alzheimer's disease, rather than respiratory issues.
Discussion Section
A
0 Pulse Checks
No comments
Question 3: Report an IssueReport Wrong Answer
A client in the operating room received succinylcholine. The client is experiencing muscle rigidity and has an extremely
high temperature. Which action should the nurse implement?
A. Call the postanesthetic care unit (PACU) nurse to prepare for prolonged ventilatory support.
B. Determine if prescribed antibiotics were administered preoperatively.
C. Hold a prescription for dantrolene until fever is reduced.
D. Prepare ice packs for placement in the client's axillary area.
Explanation
Correct Answer : D
Calling the postanesthetic care unit (PACU) nurse to prepare for prolonged ventilatory support is important in certain
situations. However, in this case, the client's immediate concern is the extremely high temperature, which needs to be
addressed urgently.
Determining if prescribed antibiotics were administered preoperatively is a standard procedure, but it is not relevant to
the acute situation of muscle rigidity and extremely high temperature caused by succinylcholine. The nurse should
focus on immediate cooling measures.
Holding a prescription for dantrolene until the fever is reduced is not appropriate. Dantrolene is actually used to treat
malignant hyperthermia, which is characterized by muscle rigidity and a high temperature. It should be administered
immediately in such cases.
Preparing ice packs for placement in the client's axillary area is a direct and immediate action to help reduce the
client's extremely high temperature. Cooling measures are crucial to manage hyperthermia and prevent further
complications.
Discussion Section
A
0 Pulse Checks
No comments
Question 4: Report an IssueReport Wrong Answer
A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile duct. Which finding is most
important for the nurse to report to the healthcare provider?
A. Clay coloured stool.
B. Distended, hard, and rigid abdomen.
C. Bile-stained emesis.
D. Radiating, sharp pain in right shoulder.
Explanation
Correct Answer : B
Clay-coloured stool is a symptom of bile duct obstruction. It indicates that bile is not reaching the intestines to help
digest food. While this is important to note, it is not the most urgent finding that requires immediate reporting to the
healthcare provider.
A distended, hard, and rigid abdomen is a sign of possible peritonitis or other severe abdominal complications. This
finding indicates a medical emergency that requires immediate attention and intervention by the healthcare provider.
Prompt reporting is essential to prevent further complications and ensure appropriate treatment.
