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 student asks the faculty to explain best practices when communicating with a person from the LGBTQ community. What answer by the faculty is most accurate?
Correct Answer: B
Rationale: The correct answer is B: Don't make assumptions about their health needs. Rationale: 1. LGBTQ individuals have diverse health needs. 2. Making assumptions can lead to inappropriate or inadequate care. 3. By not assuming, you show respect and promote open communication. 4. This approach fosters trust and ensures individualized care. Other choices: A: Avoiding questions can hinder understanding and communication. C: Generalizing that most LGBTQ individuals do not share information is inaccurate. D: Differences exist in the LGBTQ community that should be acknowledged for effective communication.
Question 3 of 5
During a call to the on-call physician about a client who had a hysterectomy 2 days ago & has unrelieved pain from prescribed narcotic medication, which statement is part of the SBAR format for communication?
Correct Answer: B
Rationale: The correct answer is B because it provides relevant information regarding the client's allergies to morphine and codeine, which is crucial for the physician to know when considering alternative pain medication options. This aligns with the "Background" component of the SBAR format, which includes pertinent patient history. Choice A is incorrect because it jumps to a solution without providing necessary background information. Choice C is irrelevant to the current situation as it does not address the client's pain management issue. Choice D is also incorrect as it only provides historical information about the type of hysterectomy performed, which is not directly related to the client's current pain management concern.
Question 4 of 5
A nurse working on a cardiac unit delegated taking vital signs to an experienced unlicensed assistive personnel (UAP). Four hours later, the nurse notes the client's blood pressure is much higher than previous readings & the client's mental status has changed. What action by the nurse would most likely have prevented this negative outcome?
Correct Answer: C
Rationale: The correct answer is C: Providing more appropriate supervision of the UAP. By providing adequate supervision, the nurse can ensure that the UAP is performing tasks correctly and can intervene if any issues arise. This would have likely prevented the negative outcome as the nurse could have identified the high blood pressure and changed mental status earlier. A: Determining if the UAP knew how to take blood pressure - While assessing the UAP's competence is important, it does not address the need for ongoing supervision and oversight. B: Double-checking the UAP by taking another blood pressure - This approach does not address the root cause of the issue, which is the lack of appropriate supervision. D: Taking the blood pressure instead of delegating the task - This is not a sustainable solution as delegating tasks to UAPs is a common practice in healthcare settings. Providing appropriate supervision is key to ensuring safe and effective delegation.
Question 5 of 5
A client is moving to a new state and needs to find a new doctor and hospital there. What advice by the nurse is best?
Correct Answer: C
Rationale: The correct answer is C: Find a hospital that is accredited by The Joint Commission. This is the best advice because The Joint Commission accreditation ensures that the hospital meets high-quality standards in patient care, safety, and performance. Accreditation indicates the hospital's commitment to providing excellent healthcare services. A: Asking about nurse-client ratios is important for patient safety, but it is not the most critical factor when choosing a hospital. B: Choosing a hospital based solely on technology does not guarantee quality care or safety. D: Using a facility affiliated with a medical or nursing school may provide access to cutting-edge research and expertise, but it does not guarantee overall quality of care provided by the hospital.