ATI RN
Adult Medical Surgical ATI Questions
Question 1 of 5
A client is being admitted to the surgical unit from the PACU following a cholecystectomy. Which of the following assessments is the nurse's priority?
Correct Answer: D
Rationale: The correct answer is D: Oxygen saturation. The priority assessment after a cholecystectomy is monitoring the client's oxygen saturation to ensure adequate oxygenation post-surgery. Decreased oxygen saturation can indicate respiratory distress, which requires immediate intervention. Bowel sounds (A) are important but not the priority post-cholecystectomy. Surgical dressing (B) should be assessed, but it is not as critical as monitoring oxygen saturation. Temperature (C) is also important, but ensuring oxygenation takes precedence in the immediate postoperative period.
Question 2 of 5
Which action should the nurse take to reduce the risk of ventilator-associated pneumonia in a client with an endotracheal tube receiving mechanical ventilation?
Correct Answer: C
Rationale: The correct answer is C: Brush the client's teeth with a suction toothbrush every 12 hours. This is crucial in reducing the risk of ventilator-associated pneumonia as it helps prevent the buildup of bacteria in the oral cavity, which can be aspirated into the lungs. Brushing the teeth regularly maintains oral hygiene, decreasing the chances of infection. A: Positioning the head of the client's bed flat can increase the risk of aspiration and pneumonia. B: Turning the client every 4 hours is important for preventing pressure ulcers but does not directly reduce the risk of ventilator-associated pneumonia. D: Providing humidity within the ventilator tubing is important for preventing mucous plugs but does not directly address oral hygiene, which is key in preventing pneumonia.
Question 3 of 5
A healthcare provider is preparing to admit a client to the PACU who received a competitive neuromuscular blocking agent. Which of the following items should the provider place at the client's bedside?
Correct Answer: A
Rationale: The correct answer is A: Bag valve mask device. In the PACU, a client who received a competitive neuromuscular blocking agent may have impaired respiratory function. Placing a bag valve mask device at the bedside is crucial for providing immediate respiratory support if needed. This device allows manual ventilation in case of respiratory distress. Summary: - Choice B: Defibrillator machine is not necessary for a client receiving a competitive neuromuscular blocking agent. - Choice C: Chest tube equipment is not typically needed for this situation. - Choice D: Central venous catheter tray is not directly related to the respiratory support required for a client with impaired respiratory function.
Question 4 of 5
A client with tuberculosis is starting medication therapy with isoniazid, rifampin, and pyrazinamide. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Rationale: Taking pyrazinamide on an empty stomach can cause stomach upset. Drinking water helps prevent this. A: Isoniazid should be taken on an empty stomach, not with an antacid. B: Sputum specimens are usually collected at the beginning of treatment, not every 2 weeks. C: Negative sputum cultures might not be achieved until later in treatment, not after 6 months.
Question 5 of 5
A client had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?
Correct Answer: A
Rationale: The correct answer is A: Poor impulse control. When a client has a stroke involving the right cerebral hemisphere, it can affect their ability to regulate emotions and impulses. The right hemisphere is responsible for inhibiting impulsive behavior, so damage to this area can lead to poor impulse control. This can manifest as impulsivity, lack of judgement, and difficulty controlling emotions. Summary of Incorrect Choices: B: Inability to discriminate words and letters - This is typically associated with left cerebral hemisphere damage, not right hemisphere. C: Deficits in the right visual field - This is associated with damage to the left occipital lobe, not the right hemisphere. D: Motor retardation - Motor functions are controlled by the opposite side of the brain, so right hemisphere damage would typically affect the left side of the body, not motor function in general.