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
What is the priority nursing diagnosis?
Correct Answer: A
Rationale: Seizures pose an immediate risk to the patient's safety.
Question 3 of 9
What is the best answer that describes a mechanical defense in a client?
Correct Answer: C
Rationale: The correct answer is C because skin and mucous membranes act as physical barriers to prevent pathogen entry.
Question 4 of 9
When assessing a client with anxiety disorder, what does the nurse observe for evidence of various levels of anxiety?
Correct Answer: B
Rationale: Excessive talking may indicate heightened anxiety as the client attempts to distract themselves from their worries.
Question 5 of 9
A patient is admitted to the ER and presents as very talkative, highly alert, pupil dilated, has a relatively high temperature and is sweating. He or she tells you he or she never needs to sleep anymore. What would you suspect is causing the patient's condition?
Correct Answer: B
Rationale: Symptoms such as talkativeness, alertness, dilated pupils, and hyperthermia are characteristic of amphetamine use.
Question 6 of 9
When teaching a client with chronic obstructive pulmonary disease about oxygen by cannula, the nurse should also instruct the client's family to:
Correct Answer: A
Rationale: Smoking near oxygen poses a fire hazard and exacerbates respiratory issues.
Question 7 of 9
Because of the rapid elimination of volatile liquids used for general anesthesia, what should the nurse anticipate the patient will need early in the anesthesia recovery period?
Correct Answer: C
Rationale: Rapid elimination can lead to respiratory depression, necessitating close observation.
Question 8 of 9
Identify what short-term evaluation technique is appropriate to assess whether the patient has met the following learning goals.
Correct Answer: B
Rationale: Each learning goal requires a different evaluation technique: Demonstration for subcutaneous insulin injection, Verbalization for identifying side effects of Coumadin, Selection for choosing potassium-rich foods, Observation for verbalizing no shortness of breath, and Verbalization for stating readiness to change a dressing. The correct technique depends on the specific goal.
Question 9 of 9
Match the following care planning tools to the description statement(s). There may be more than one statement per tool and some statements may be used more than once.
Correct Answer: A
Rationale: Nursing Care Plans direct teams, Concept Maps visualize relationships, and Clinical Pathways guide predictable cases.