ATI Detailed Answer Key Medical Surgical

Question 1 of 5

You are the charge nurse. Which client is most appropriate to assign to the step-down unit nurse pulled to the intensive care unit for the day?

A. A 68-year-old client on ventilator with acute respiratory failure and respiratory acidosis B. A 72-year-old client with COPD and normal arterial blood gases (ABGs) who is ventilator-dependent C. A 56-year-old new admission client with diabetic ketoacidosis (DKA) on an insulin drip D. A 38-year-old client on a ventilator with narcotic overdose and respiratory alkalosis

Correct Answer: B

Rationale: A client with stable ABGs and ventilator dependence is less complex compared to other options, making them suitable for a step-down nurse temporarily working in ICU.

Question 2 of 5

Which test involves providing quick responses to words like 'mother...', 'work...', et ?

A. Minnesota Multiphasic Personality Inventory B. Word Association Test C. Rorschach Test D. Beck Depression Inventory

Correct Answer: B

Rationale: The Word Association Test requires clients to quickly respond to words, revealing unconscious thoughts and emotions through their responses.

Question 3 of 5

What diet would be most appropriate for Mr. Puff on discharge?

A. Low-calorie, low-sodium B. Regular, with increase in milk and milk products C. Regular, with increase in onions, peas, cabbage D. Soft, with small frequent feedings

Correct Answer: D

Rationale: Small, frequent meals prevent overeating and reduce respiratory workload.

Question 4 of 5

How would you respond to a family member experiencing anticipatory grieving who emotionally withdraws from the client?

A. Encourage continued engagement and communication. B. Allow space while offering support and reassurance. C. Advise them to focus solely on practical matters. D. Recommend avoiding the client until after their passing.

Correct Answer: B

Rationale: Offering support while respecting emotional withdrawal helps family members process grief at their own pace.

Question 5 of 5

A client is scheduled for a pneumonectomy in the morning. The client has had a previous negative surgical experience, is talking rapidly, and has an increased pulse and respiratory rate. Nursing interventions for this client should include:

A. providing opportunities for questions and talking about the client's concerns. B. providing distractions such as reading or watching television. C. assuring the client that everything will be all right. D. reminding the client that the surgery is not as extensive as the client's past surgery.

Correct Answer: A

Rationale: Providing an opportunity for an open discussion will help to clarify any misunderstandings about the surgery and gives the client a chance to verbalize any concerns about the surgery. Distractions will not alleviate the client's preoperative anxiety; it denies the anxiety the client is experiencing. Giving false assurance is not appropriate and it denies that anxiety is a normal response to the threat of surgery. Psychological responses are not directly related to the severity of the surgery; they are influenced by the client's experience.

ATI Detailed Answer Key Medical Surgical - Nurselytic

Nurselytic

ATI RN

ATI RN