ATI LPN
Medical Surgical ATI Proctored Exam Questions
Question 1 of 5
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. Which instruction should the nurse provide?
Correct Answer: A
Rationale: The correct answer is A: Use oxygen continuously, even while sleeping. In COPD, maintaining consistent oxygen levels is crucial to prevent hypoxia. Oxygen therapy should be used continuously, including during sleep, to ensure adequate oxygenation. Using oxygen only when short of breath (Choice B) may lead to hypoxia during periods of rest. Reporting difficulty breathing (Choice C) is important but not specific to oxygen therapy. Taking off oxygen while eating or drinking (Choice D) can result in decreased oxygen levels, which can be dangerous for someone with COPD.
Question 2 of 5
A client with a diagnosis of rheumatoid arthritis is experiencing severe pain. Which medication is likely to be prescribed?
Correct Answer: C
Rationale: The correct answer is C: Methotrexate (Rheumatrex). Methotrexate is a disease-modifying antirheumatic drug commonly prescribed for managing rheumatoid arthritis. It helps reduce inflammation and pain by targeting the immune system's overactivity. Acetaminophen (A) is a mild pain reliever and does not treat the underlying inflammation in rheumatoid arthritis. Ibuprofen (B) is a nonsteroidal anti-inflammatory drug (NSAID) that can help with pain and inflammation but is not as effective in managing rheumatoid arthritis as methotrexate. Prednisone (D) is a corticosteroid that can provide quick relief from inflammation and pain, but it is typically used for short-term management due to its potential side effects.
Question 3 of 5
A 65-year-old female client arrives in the emergency department with shortness of breath and chest pain. The nurse accidentally administers 10 mg of morphine sulfate instead of the prescribed 4 mg. Later, the client's respiratory rate is 10 breaths/minute, oxygen saturation is 98%, and she states her pain has subsided. What is the legal status of the nurse?
Correct Answer: B
Rationale: The correct answer is B: The client would not be able to prove malpractice in court. In this scenario, although the nurse made an error in administering a higher dose of morphine, the client's condition improved, as evidenced by stable vital signs and pain relief. Therefore, there was no harm caused to the client due to the mistake. In malpractice cases, the client needs to prove that harm or injury resulted from the healthcare provider's actions. Since the client's condition improved, it would be difficult to establish malpractice in this situation. Choice A is incorrect because negligence requires harm or injury to occur, which is not the case here. Choice C is incorrect as the Good Samaritan Act typically applies to individuals providing emergency care in good faith at the scene of an emergency, not within a healthcare setting. Choice D is incorrect as the focus is on the nurse's error in administering the incorrect dose, not on the healthcare provider's responsibility in this context.
Question 4 of 5
A client with a cold is taking the antitussive benzonatate (Tessalon). Which assessment data indicates to the nurse that the medication is effective?
Correct Answer: B
Rationale: The correct answer is B: Denies having coughing spells. Benzonatate is an antitussive medication that suppresses cough reflex. If the client denies having coughing spells, it indicates that the medication is effectively suppressing the cough. This is the most direct indicator of the medication's effectiveness. A: Reports reduced nasal discharge - This is not directly related to the effectiveness of benzonatate in suppressing cough. C: Able to sleep through the night - While improved sleep may result from reduced coughing, it is not as specific an indicator of antitussive effectiveness as denying coughing spells. D: Expectorating bronchial secretions - This indicates productive coughing, which is not the intended effect of benzonatate.
Question 5 of 5
During a home visit, the nurse should evaluate the adequacy of a client's COPD treatment by assessing for which primary symptom?
Correct Answer: A
Rationale: The correct answer is A: Dyspnea. Dyspnea is a primary symptom of COPD due to impaired airflow. Assessing dyspnea helps determine the effectiveness of COPD treatment. Tachycardia (B) may occur but is not a primary symptom. Unilateral diminished breath sounds (C) suggest other conditions, not COPD. Edema of the ankles (D) is more indicative of heart failure.