ATI RN
ATI Medical Surgical Proctored Exam Questions
Question 1 of 9
A client is receiving discharge teaching after a total hip replacement. Which statement by the client indicates a need for further teaching?
Correct Answer: D
Rationale: The correct answer is D because bending down to tie shoes after only 2 weeks post total hip replacement can put strain on the hip joint and increase the risk of dislocation. The client should avoid bending past 90 degrees to protect the new hip joint. Choices A, B, and C are all correct statements as they promote hip joint protection and reduce the risk of complications.
Question 2 of 9
During a preoperative review of systems, the patient reveals a history of renal disease. This finding suggests the need for which preoperative diagnostic tests?
Correct Answer: D
Rationale: Renal disease necessitates evaluating kidney function through tests like BUN, serum creatinine, and electrolytes.
Question 3 of 9
What factor would be most important to include in Wendy’s discharge teaching plan?
Correct Answer: D
Rationale: Preventive measures reduce the likelihood of recurrent attacks.
Question 4 of 9
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 9
The main action of luteinizing hormone is:
Correct Answer: C
Rationale: Luteinizing hormone triggers ovulation, releasing the mature egg from the ovary.
Question 6 of 9
A client with tuberculosis (TB) is taking isoniazid (INH). Which instruction is most important for the nurse to include?
Correct Answer: D
Rationale: Step 1: Isoniazid (INH) can cause liver toxicity. Step 2: Regular liver function tests help monitor for liver damage. Step 3: Monitoring liver function is crucial to prevent serious complications. Step 4: Other choices are not directly related to INH's side effects. Summary: Choice D is correct as it directly addresses a potential serious side effect of INH. Choices A, B, and C are not directly relevant to the medication's side effects.
Question 7 of 9
Priority Decision: To promote effective coughing, deep breathing, and ambulation in the postoperative patient, what is most important for the nurse to do?
Correct Answer: C
Rationale: Pain management enables patients to perform respiratory exercises effectively, preventing complications.
Question 8 of 9
During a shower three days ago, Jeremy Robb, 19, discovered a firm lump in his left testis. He went to the student health center at his university, was referred to a local physician and was admitted to the hospital for a left orchiectomy and lymph node resection. Risk factors for cancer of the testes include:
Correct Answer: B
Rationale: Smoking has been linked to cancer of the lungs, bladder, and pancreas, but has not been linked directly to cancer of the testes. Males who had undescended testicle(s) have been found to have a higher incidence of cancer of the testes later. It is theorized that the internal heat the testes are exposed to while in the abdomen causes the damage to the testes. Multiple sex partners is a risk for genital warts, AIDS, and sexually transmitted diseases, but has not been shown to be a risk for cancer of the testes. Genital trauma more likely causes bladder and ureteral damage.
Question 9 of 9
4. What is the focus of the integrative model of health care?
Correct Answer: C
Rationale: The integrative model emphasizes holistic care, focusing on the mind-body-spirit connections rather than just treating symptoms or relying solely on conventional treatments.