ATI RN
ATI Medical Surgical Proctored Exam Questions
Question 1 of 5
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 5
A healthcare professional is assessing a client with rheumatoid arthritis. Which assessment finding is most characteristic of this disease?
Correct Answer: C
Rationale: The correct answer is C: Morning stiffness lasting more than 30 minutes. This is characteristic of rheumatoid arthritis due to the inflammatory nature of the disease. The prolonged morning stiffness is a hallmark feature, reflecting the systemic inflammation present in rheumatoid arthritis. This symptom is not typically seen in osteoarthritis, which rules out options A and B. Pain that worsens with activity is more indicative of osteoarthritis as opposed to rheumatoid arthritis, making option D incorrect.
Question 3 of 5
A client with a history of gastrointestinal bleeding is taking warfarin (Coumadin). Which instruction should the nurse include in the teaching plan?
Correct Answer: C
Rationale: The correct answer is C: Report any signs of bruising or bleeding to your healthcare provider. This instruction is crucial because warfarin can increase the risk of bleeding, especially in clients with a history of gastrointestinal bleeding. Reporting any signs of bruising or bleeding promptly allows for timely intervention to prevent serious complications. A: Avoiding foods high in vitamin K is not necessary, as consistent intake of vitamin K-containing foods can help maintain stable anticoagulant levels. B: Taking aspirin along with warfarin can increase the risk of bleeding and should be avoided. D: Limiting fluid intake is not directly related to the management of warfarin therapy or gastrointestinal bleeding.
Question 4 of 5
When caring for a client with pneumonia, what intervention is most effective in preventing the spread of infection?
Correct Answer: D
Rationale: The correct answer is D because performing hand hygiene before and after client contact is crucial in preventing the spread of infection in pneumonia. This intervention helps in reducing the transmission of infectious agents from one client to another and from surfaces to clients. It is a fundamental infection control measure that minimizes the risk of spreading pathogens. Option A is important for treating the infection but does not directly prevent its spread. Option B is a good practice to contain respiratory secretions but may not be as effective as hand hygiene. Option C isolates the client but does not address the primary mode of transmission through contaminated hands.
Question 5 of 5
A client with a long history of smoking is being assessed by a nurse. Which finding is a common complication of chronic obstructive pulmonary disease (COPD)?
Correct Answer: C
Rationale: Step-by-step rationale: 1. COPD is characterized by airway obstruction, leading to difficulty exhaling. 2. Prolonged expiratory phase is a common finding due to air trapping. 3. This leads to hyperinflation and increased residual volume. 4. Decreased anteroposterior chest diameter is not typical in COPD. 5. Increased breath sounds and chest expansion are not common in COPD. In summary, choice C is correct because it directly relates to the pathophysiology of COPD, while the other choices are not consistent with the condition.