ATI RN
ATI Medical Surgical Proctored Exam Questions
Question 1 of 5
When planning care, what factors should the nurse consider when utilizing evidence-based practice (EBP)? (Select ONE that does not apply)
Correct Answer: A
Rationale: The correct answer is A: Cost-saving measures. When utilizing evidence-based practice, the nurse should prioritize providing care based on research findings, considering client preferences, and leveraging their expertise. Cost-saving measures should not be the primary factor influencing care decisions as the focus should be on delivering the most effective and appropriate care based on evidence. Ignoring research findings, client preferences, or the nurse's expertise could compromise the quality of care provided. Thus, cost-saving measures are not a factor to consider when planning care with evidence-based practice.
Question 2 of 5
A patient is admitted to the ER and presents as very talkative, highly alert, pupil dilated, has a relatively high temperature and is sweating. He or she tells you he or she never needs to sleep anymore. What would you suspect is causing the patient's condition?
Correct Answer: B
Rationale: Symptoms such as talkativeness, alertness, dilated pupils, and hyperthermia are characteristic of amphetamine use.
Question 3 of 5
A patient with end-stage liver failure tells the nurse, “If I can just live to see my first grandchild who is expected in 5 months, then I can die happy.” The nurse recognizes that the patient is demonstrating which of the following stages of grieving?
Correct Answer: B
Rationale: The patient is expressing a desire to delay death in exchange for a significant event, characteristic of the bargaining stage in Kübler-Ross's model of grief.
Question 4 of 5
Patients returning from the operating room (OR) should be monitored for atelectasis. Why is this important?
Correct Answer: A
Rationale: Anesthesia and immobility can lead to atelectasis, where parts of the lung collapse.
Question 5 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.