ATI Medical Surgical Proctored Exam

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ATI Medical Surgical Proctored Exam Questions

Question 1 of 5

After an open lung biopsy, a nurse assesses a client. Which assessment finding is matched with the correct intervention?

A. Client states he is dizzy. Nurse applies oxygen and pulse oximetry. B. Client's HR is 55 beats/min. Nurse withholds pain medication. C. Client has reduced breath sounds. Nurse calls the physician immediately. D. Client's RR is 18 breaths/min. Nurse decreases the oxygen flow rate.

Correct Answer: C

Rationale: After an open lung biopsy, a potential complication is pneumothorax, often indicated by reduced or absent breath sounds. The nurse should promptly notify the physician to address this serious issue and ensure timely intervention.

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?

A. Breathing so rapidly interferes with oxygenation. B. Maybe the client has respiratory distress syndrome. C. The blood clot interferes with perfusion in the lungs. D. The client needs immediate intubation & mechanical ventilation.

Correct Answer: C

Rationale: A large blood clot in the lungs will significantly impair gas exchange & oxygenation. Unless the clot is dissolved, this process will continue unabated.

Question 3 of 5

A nurse is caring for a client post-myocardial infarction (MI). What is the priority assessment for this client?

A. Monitoring urine output B. Checking blood glucose levels C. Assessing for chest pain D. Monitoring electrolyte levels

Correct Answer: C

Rationale: Assessing for chest pain is crucial in post-MI clients as it can indicate complications such as reinfarction or ischemia.

Question 4 of 5

A client with hypertension is being taught about lifestyle modifications. Which statement by the client indicates a need for further teaching?

A. I will reduce my sodium intake to help control my blood pressure. B. I need to start walking at least 30 minutes most days of the week. C. I can continue drinking alcohol as long as it is not in excess. D. I will check my blood pressure regularly at home.

Correct Answer: C

Rationale: In hypertension management, it is crucial for clients to limit or avoid alcohol consumption, not just refrain from excess. Alcohol can raise blood pressure and interfere with the effectiveness of antihypertensive medications, making it a key lifestyle modification for individuals with hypertension.

Question 5 of 5

When orienting a new client and family to the inpatient unit, what information should the nurse provide to help the client promote their own safety?

A. Encourage the client and family to be active partners. B. Instruct the client to monitor hand hygiene in caregivers. C. Offer the family the opportunity to stay with the client. D. Advise the client to always wear their armband.

Correct Answer: A

Rationale: Encouraging the client and family to be active partners in their healthcare is crucial for promoting safety. When clients and families actively participate, they are more likely to advocate for themselves, ask questions, and be engaged in their care, leading to better outcomes and reduced risks.

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