ATI RN
Medical Surgical ATI Proctored Exam Questions
Question 1 of 9
A client is planning to perform nasotracheal suction for a client who has COPD and an artificial airway. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Preoxygenating the client with 100% oxygen for up to 3 minutes helps prevent hypoxia during suctioning. 2. COPD patients are at higher risk for hypoxia due to impaired gas exchange. 3. Preoxygenation helps maintain oxygen saturation levels and reduces the risk of complications. 4. This action supports safe and effective nasotracheal suctioning in clients with COPD and an artificial airway. Summary: - Option A: Performing suctioning for up to four passes can increase the risk of hypoxia and mucosal damage. - Option B: Applying suction to the catheter during advancement can cause trauma and increase the risk of infection. - Option D: Limiting each suction pass to 25 seconds may not provide adequate time for effective suctioning in clients with COPD and artificial airways.
Question 2 of 9
The nurse knows that the most likely cause of the HSV-1 infection in a client with HIV infection is:
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 9
The following are the monometer measurements of four clients. Which of them has normal intraocular pressure (IOP)?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 9
A 27-year-old male client develops malignant hyperthermia during a herniorrhaphy; his temperature is 105.4 degrees F. The client has had no previous health problems other than hypertension. A nurse orienting in the OR says, 'I thought only people with brain tumors had this problem.' Which of the following answers explains malignant hyperthermia?
Correct Answer: D
Rationale: Epinephrine is a hormone employed in the fight-or-flight stress response. It does not contribute to malignant hyperthermia. Stimulation of the sympathetic adrenal medullary mechanism helps the body cope with stress. It does not contribute to malignant hyperthermia. Catecholamine release is one of the physiological effects of stress. It does not contribute to malignant hyperthermia. Malignant hyperthermia is an inherited disorder of muscle metabolism that increases intracellular calcium, which causes generalized muscle rigidity, fever, tachycardia, and tachypnea.
Question 5 of 9
What additional assessment should be made if there is no fluid in Mr. Jones’ chest tubes?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 6 of 9
Following a bone marrow transplant, the patient has an increased risk for
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 7 of 9
A healthcare professional is assessing a client who has postoperative atelectasis and is hypoxic. Which of the following manifestations should the healthcare professional expect?
Correct Answer: D
Rationale: The correct answer is D: Intercostal retractions. In postoperative atelectasis, there is a collapse of lung tissue leading to decreased oxygen exchange and hypoxia. Intercostal retractions indicate increased work of breathing as the body tries to compensate for the decreased lung function. Bradycardia and bradypnea are not typically associated with hypoxia but rather with decreased oxygen delivery to tissues. Lethargy is a nonspecific symptom and may not directly correlate with hypoxia in this scenario.
Question 8 of 9
Which stage of wound healing lasts from 21 days to several months and even 1 to 2 years, allowing the strength of the wound to increase through synthesis of collagen by fibroblasts and lysis by collagenase enzymes?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 9 of 9
Who should ideally do discharge planning?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.