ATI RN
Medical Surgical ATI Proctored Exam Questions
Question 1 of 5
During assessment, a healthcare provider is evaluating a client with chronic bronchitis. Which of the following percussion sounds should the healthcare provider expect?
Correct Answer: B
Rationale: The correct answer is B: Resonance. When assessing a client with chronic bronchitis, the healthcare provider should expect to hear resonant percussion sounds. This is because chronic bronchitis is characterized by inflammation and excess mucus production in the bronchial tubes, leading to airway obstruction. Resonance indicates normal lung tissue and air-filled spaces. Dullness (A) may suggest consolidation or fluid in the lungs, which is not typically associated with chronic bronchitis. Tympany (C) is a drum-like sound that can be heard over air-filled structures like the stomach, not typically expected in a lung assessment. Flatness (D) is heard over solid structures like the liver and would not be expected in a lung assessment for chronic bronchitis.
Question 2 of 5
During an assessment, an older adult client's son reports that the client has been sick with a respiratory illness for the past 6 days. Which of the following assessment findings is a manifestation of pneumonia in the older adult client?
Correct Answer: C
Rationale: Step 1: Pneumonia in older adults often presents with atypical symptoms. Step 2: Confusion is a common manifestation due to decreased oxygen levels. Step 3: Respiratory illness can lead to hypoxia, causing confusion. Step 4: Bradycardia, night sweats, and narrowed pulse pressure are not typical manifestations of pneumonia in older adults.
Question 3 of 5
A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing. Which of the following actions is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: Assess the client's respiratory status. This is the priority because the client is experiencing difficulty breathing, which could indicate a worsening of their condition. By assessing the respiratory status, the nurse can gather vital information to determine the appropriate next steps, such as adjusting the oxygen flow rate, providing respiratory treatments, or seeking further medical intervention. Increasing the oxygen flow without assessing the client's condition could potentially exacerbate the issue. Calling emergency services (choice C) may be necessary based on the assessment findings but should not be the immediate priority. Having the client cough and expectorate secretions (choice D) is important for airway clearance but is not the priority when the client is in distress.
Question 4 of 5
A client reports a headache and vertigo after turning on his furnace for the first time this season. The nurse should suspect which of the following conditions?
Correct Answer: A
Rationale: The correct answer is A: Carbon monoxide poisoning. When the furnace is turned on for the first time, it may release carbon monoxide, a colorless and odorless gas that can cause headaches and vertigo. Carbon monoxide binds to hemoglobin, reducing oxygen delivery to tissues, leading to symptoms. Heat stroke (B) is caused by prolonged exposure to high temperatures. Hypersensitivity reactions (C) involve the immune system's response to an allergen. Oxygen toxicity (D) occurs with prolonged exposure to high levels of oxygen.
Question 5 of 5
A client with tuberculosis is starting combination drug therapy. Which of the following medications should the nurse NOT plan to administer?
Correct Answer: C
Rationale: The correct answer is C: Acyclovir. Acyclovir is an antiviral medication used to treat herpes infections, not tuberculosis. Rifampin, Isoniazid, and Pyrazinamide are all first-line drugs for tuberculosis treatment. Rifampin is a bactericidal agent, Isoniazid disrupts mycobacterial cell wall synthesis, and Pyrazinamide targets actively replicating bacteria. Therefore, the nurse should not plan to administer Acyclovir as it is not indicated for tuberculosis treatment.