ATI RN
ATI Medical Surgical Proctored Exam Questions
Question 1 of 5
A client is going to be admitted for a scheduled surgical procedure. Which action does the nurse explain is the most important thing the client can do to protect against errors?
Correct Answer: A
Rationale: The correct answer is A: Bring a list of all medications and their purposes. This is important as it helps prevent medication errors during the surgical procedure. By having a list of medications and their purposes, the healthcare team can ensure they are administering the correct medications and dosages. This also helps in preventing drug interactions or allergies.
Option B (Keep the doctor's phone number close by) may be helpful in case of emergencies, but it does not directly address preventing errors during the surgical procedure. Option C (Ensure all providers wash their hands before entering the room) is important for infection control but is not specifically related to preventing errors. Option D (Document the name of each caregiver who enters the room) is not as critical as having a list of medications, as it does not directly impact the safety and well-being of the client during the surgical procedure.
Question 2 of 5
A client has a pulmonary embolism & is started on oxygen. The student nurse asks why the client's oxygen saturation has not significantly improved. What response by the nurse is best?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale:
1. A pulmonary embolism is a blockage in one of the pulmonary arteries, affecting blood flow to the lungs.
2. This blockage limits perfusion, the process of blood flow through the lungs for oxygenation.
3. Oxygen saturation may not improve significantly because the blood clot interferes with perfusion, not ventilation.
4. Options A and B focus on ventilation issues, which may not be the primary concern in this case.
5. Option D is extreme and not supported by the information given about the client's condition.
Summary:
Choice C is correct because a pulmonary embolism affects perfusion in the lungs, leading to decreased oxygen saturation.
Choices A, B, and D are incorrect as they focus on other issues not directly related to the client's condition.
Question 3 of 5
For Mr. Jones’ persistent productive cough, what nursing action would be most appropriate?
Correct Answer: A
Rationale: Warm liquids soothe the throat and thin mucus, facilitating expectoration.
Question 4 of 5
Prior to a thoracentesis, what intervention should the nurse complete?
Correct Answer: D
Rationale: The correct answer is D because ensuring informed consent is crucial before any invasive procedure to protect the client's autonomy and rights. This involves confirming the client's understanding of the procedure, risks, benefits, and alternatives. Option B is correct as it directly relates to the ethical and legal aspect of the procedure. Option A is incorrect as it focuses solely on monitoring oxygen saturation, which is important but not the priority before thoracentesis. Option C is incorrect as simply explaining the procedure does not ensure the client's understanding or consent.
Question 5 of 5
Which assessment finding signals the most serious and life-threatening condition?
Correct Answer: A
Rationale: A deviated trachea indicates possible tension pneumothorax, a life-threatening condition.