ATI RN
ATI Detailed Answer Key Medical Surgical Questions
Question 1 of 5
65-year-old Dominic is being transferred into the PACU from the OR. Once there, initial assessment will focus on:
Correct Answer: A
Rationale: The ABCs (airway, breathing, circulation) are the priority in postoperative assessments to ensure the patient's immediate physiological stability. The wound site is also assessed for signs of bleeding or infection.
Question 2 of 5
What precaution should a nurse take to minimize the risk of death when using potassium chloride to flush a lock or central venous catheter?
Correct Answer: A
Rationale: The correct answer is A because concentrated potassium chloride can cause cardiac arrest if injected rapidly.
Question 3 of 5
A client is admitted to the unit for chemotherapy. To prevent an acid-base problem, which of the following would you instruct the nursing assistant to report?
Correct Answer: A
Rationale: Nausea and vomiting can lead to metabolic alkalosis due to loss of gastric acid, making it important to report promptly to prevent acid-base imbalances.
Question 4 of 5
Priority Decision: The nurse prepares to interview a patient for a nursing history but finds the patient in obvious pain. Which action by the nurse is the best at this time?
Correct Answer: A
Rationale: The correct answer is 'Delay the interview until the patient is free of pain.' Pain can interfere with concentration and communication, making it difficult for the patient to provide accurate information. Delaying the interview ensures better quality data collection once the patient is comfortable.
Question 5 of 5
What diet would be most appropriate for Mr. Puff on discharge?
Correct Answer: D
Rationale: Small, frequent meals prevent overeating and reduce respiratory workload.