ATI RN
Medical Surgical ATI Proctored Exam Questions
Question 1 of 9
A clinical polysomnography (PSG) may be performed on a patient with signs and symptoms of a sleep disorder. What measures and observations does this study include (select all that apply)?
Correct Answer: A
Rationale: The correct answers are A, B, E, F, G, H, and I. PSG includes heart rate, SpO2, airflow, muscle tone, respiratory effort, eye movements, and brain activity. Surface body temperature (C) and actigraphy (J) are not typically part of PSG.
Question 2 of 9
Thirty-six hours postoperatively a patient has a temperature of 100°F (37.8°C). What is the most likely cause of this temperature elevation?
Correct Answer: D
Rationale: Low-grade fever within the first 48 hours postoperatively is typically a normal response to surgical stress.
Question 3 of 9
Mrs. Smith asks about treatment options for sensorineural deafness. To counsel Mrs. Smith appropriately, the nurse knows that the only type of organically caused deafness that can be effectively treated at this time is
Correct Answer: A
Rationale: Conductive deafness often responds well to surgical or medical interventions, unlike other types of hearing loss where treatment options are limited.
Question 4 of 9
The nurse explains to the patient that the primary purpose of such a record is to
Correct Answer: D
Rationale: Electronic health records centralize patient data, ensuring all providers have access to complete and up-to-date information.
Question 5 of 9
On the first postoperative day following a bowel resection, the patient complains of abdominal and incisional pain rated 9 on a scale of 0 to 10. Postoperative orders include morphine, 4 mg IV q2 hr, for pain and may repeat morphine, 4 mg IV, for breakthrough pain. The nurse determines that it has been only 2 hours since the last dose of morphine and wants to wait a little longer. What effect does the nurse’s action have on the patient?
Correct Answer: C
Rationale: The correct answer is C. Delaying pain relief contributes to unnecessary suffering and can negatively impact recovery.
Question 6 of 9
8. What is acupuncture used for (select all that apply)?
Correct Answer: B
Rationale: Acupuncture is commonly used to reestablish the flow of Qi (option B) and relieve nausea and vomiting (option D), among other therapeutic uses.
Question 7 of 9
A patient who received spinal anesthesia four hours ago during surgery is transferred to the surgical unit and, after 90 minutes, now reports severe incisional pain. The patient's blood pressure is 170/90 mmHg, pulse is 108 beats/min, temperature is 99oF (37.2oC), and respirations are 30 breaths/min. The patient's skin is pale, and the surgical dressing is dry and intact. The most appropriate nursing intervention is to
Correct Answer: D
Rationale: The nurse should report these findings to the provider because the patient may be experiencing complications such as hypertension or hypovolemia.
Question 8 of 9
A postoperative 68-year-old opioid-naive patient is receiving morphine by patient-controlled analgesia (PCA) for postoperative pain. What is the rationale for not initiating the PCA analgesic with a basal dose of analgesic as well?
Correct Answer: C
Rationale: The correct answer is C. Basal doses increase the risk of adverse respiratory outcomes.
Question 9 of 9
For a patient with Crohn disease, the medical-surgical nurse recommends a diet that is
Correct Answer: D
Rationale: A low-fiber, high-protein diet minimizes irritation and provides necessary nutrients.