ATI RN
Medical Surgical ATI Proctored Exam Questions
Question 1 of 5
A client is considering laser abdominal surgery and asks the nurse if there is any advantage in having this type of surgery. The nurse's response should be based upon the knowledge that laser surgery:
Correct Answer: A
Rationale: A lower postoperative infection rate has been documented as a result of laser therapy versus routine surgery. Clients who choose laser surgery will still need preoperative sedation to facilitate anxiety reduction. Operating time may actually increase in some laser surgeries. The client who chooses laser surgery must still be observed for postoperative complications.
Question 2 of 5
A 47-year-old client is admitted for colon surgery. Intravenous antibiotics are started two hours prior to surgery even though the client has no known infection. The reason for giving antibiotics prior to surgery is to:
Correct Answer: B
Rationale: Cathartics, not antibiotics, promote the evacuation of intestinal contents. The client undergoing intestinal surgery is at an increased risk for infection from large numbers of anaerobic bacteria that inhabit the intestines. Administering antibiotics prophylactically can reduce the client's risk for infection. Antibiotics are indicated in the treatment of infections and have no effect on emotions. Antibiotics would have an effect on an infection which causes a temperature elevation, but they would not directly affect the temperature elevation.
Question 3 of 5
A client is experiencing episodes of hyperventilation related to the surgery scheduled for tomorrow. The appropriate nursing action to help control hyperventilation is to:
Correct Answer: C
Rationale: An adult Valium dosage for treatment of anxiety is 2-10 mg PO from two to four times daily. As written, the order would place a client at risk for an overdose. A high room temperature could increase the hyperventilating episodes by stimulating the respiratory system. Holding one's breath and breathing into a paper bag may be useful in controlling hyperventilation. Both measures increase CO2 retention. Distraction will not prevent or control hyperventilation, which is caused by anxiety or fear.
Question 4 of 5
Which team is the most appropriate for this assignment?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
List the order for the actions that you must perform.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.