ATI RN
ATI Medical Surgical Proctored Exam Questions
Question 1 of 5
A client with newly diagnosed osteoporosis is being taught about lifestyle modifications. Which instruction should be included?
Correct Answer: B
Rationale: Step 1: Weight-bearing exercises help improve bone density and strength, crucial in managing osteoporosis. Step 2: Regular engagement in weight-bearing exercises can reduce the risk of fractures in individuals with osteoporosis. Step 3: Increasing intake of caffeinated beverages can contribute to bone loss. Step 4: Avoiding exposure to sunlight can decrease vitamin D levels necessary for calcium absorption. Step 5: Taking calcium supplements with iron may interfere with calcium absorption. Summary: Choice B is correct as weight-bearing exercises are essential for managing osteoporosis. Choices A, C, and D are incorrect because they can have negative impacts on bone health.
Question 2 of 5
A healthcare professional is assessing a client with left-sided heart failure. Which finding is most commonly associated with this condition?
Correct Answer: D
Rationale: The correct answer is D: Crackles in the lungs. Left-sided heart failure leads to fluid accumulation in the lungs, causing crackles on auscultation. This indicates pulmonary congestion. Peripheral edema (A) is more common in right-sided heart failure. Jugular vein distention (B) is typically seen in right-sided heart failure due to increased venous pressure. Hepatomegaly (C) is more common in conditions like liver disease, not specifically left-sided heart failure.
Question 3 of 5
A nurse cares for a client with chronic obstructive pulmonary disease who has been prescribed continuous oxygen therapy at home. Which statement indicates the client correctly understands the teaching?
Correct Answer: C
Rationale: The correct answer is C because using cotton balls to cushion the oxygen tubing on the ears helps prevent skin irritation or pressure ulcers. This indicates the client understands the importance of skin care and comfort while using oxygen therapy. A: Incorrect. The client should wear oxygen during all activities that increase oxygen demand, not just when feeling short of breath during exercise. B: Incorrect. Using portable oxygen near an open flame like a grill can result in a fire hazard. D: Incorrect. Smoking while using oxygen therapy is extremely dangerous and can lead to a fire.
Question 4 of 5
A client has a pleural chest tube. Which action should the nurse take to ensure safe use of this equipment?
Correct Answer: D
Rationale: The correct answer is D: Keep padded clamps at the bedside for use if the drainage system is interrupted. This is essential because if the drainage system is interrupted, the nurse needs to immediately clamp the tube to prevent air from entering the pleural space. Clamping the tube can prevent a potentially life-threatening situation. A: Never strip the tubing to maintain patency - Stripping the tubing can lead to increased negative pressure, which can be harmful. B: Secure tubing junctions with tape to prevent accidental disconnections - While securing tubing is important, clamping the tube in case of interruption is more critical. C: Set wall suction at the level recommended by the device manufacturer - This is important for proper functioning but not as crucial as having clamps ready for emergencies.
Question 5 of 5
A client tests positive for alpha1-antitrypsin (AAT) deficiency and asks the nurse, What does this mean? How should the nurse respond?
Correct Answer: C
Rationale: Rationale: C is correct because AAT deficiency increases the risk of COPD, especially with smoking. This response provides accurate information regarding the client's health risk. A is incorrect as it specifically mentions children rather than the client's own risk. B is incorrect as it focuses on genetic counseling rather than addressing the client's question. D is incorrect as it inaccurately states that the gene does not affect health.