ATI RN
Medical Surgical ATI Proctored Exam Questions
Question 1 of 9
A healthcare professional is assessing a client who has postoperative atelectasis and is hypoxic. Which of the following manifestations should the healthcare professional expect?
Correct Answer: D
Rationale: The correct answer is D: Intercostal retractions. In postoperative atelectasis, there is a collapse of lung tissue leading to decreased oxygen exchange and hypoxia. Intercostal retractions indicate increased work of breathing as the body tries to compensate for the decreased lung function. Bradycardia and bradypnea are not typically associated with hypoxia but rather with decreased oxygen delivery to tissues. Lethargy is a nonspecific symptom and may not directly correlate with hypoxia in this scenario.
Question 2 of 9
A healthcare professional is auscultating the lungs of a client who has pleurisy. Which of the following adventitious breath sounds should the professional expect to hear?
Correct Answer: A
Rationale: The correct answer is A: Loud, scratchy sounds. Pleurisy is inflammation of the pleura, causing friction between layers of the lung lining, resulting in loud, scratchy sounds known as pleural friction rubs. Squeaky, musical sounds (B) are indicative of wheezing in conditions like asthma. Popping sounds (C) can be heard in conditions like atelectasis or pneumonia. Snoring sounds (D) are typically associated with upper airway obstruction, not pleurisy. Therefore, in the context of pleurisy, the healthcare professional should expect to hear loud, scratchy sounds during auscultation.
Question 3 of 9
Which process is defined as the movement of fluid and some dissolved substances through a semipermeable membrane according to pressure differences?
Correct Answer: D
Rationale: Filtration involves the movement of fluid and solutes across a semipermeable membrane due to hydrostatic or osmotic pressure differences.
Question 4 of 9
Most of the danger associated with pneumoconioses is due to
Correct Answer: C
Rationale: Inhaling dust particles damages lung tissue, leading to fibrosis.
Question 5 of 9
A patient has come to the health clinic with diarrhea of 3 days’ duration. He says the stools occur five or six times per day and are very watery. Every time he eats or drinks something, he has an urgent diarrhea stool. He denies being out of the country but did attend a large family reunion held at a campground in the mountains about a week ago.
Correct Answer: C
Rationale: The correct answers are 'Timing,' 'Quality,' 'Severity,' and 'Precipitating.' These aspects help clarify the nature and cause of the diarrhea.
Question 6 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 7 of 9
Which of these tasks are appropriate to delegate to the LPN/LVN who is functioning under the supervision of an RN? (Choose all that apply.)
Correct Answer: B
Rationale: Administering medications is within the scope of practice for LPNs/LVNs under RN supervision.
Question 8 of 9
What term best describes an item that is a microorganism or prion that is generally harmless to humans?
Correct Answer: A
Rationale: The correct answer is A because nonpathogenic microorganisms do not typically cause harm to humans.
Question 9 of 9
Lucinda is a 27-year-old woman with a history of asthma who is scheduled for an appendectomy later today. Due to her asthma, her preoperative teaching would include the need for postoperative:
Correct Answer: A
Rationale: Patients with asthma are at higher risk for respiratory complications postoperatively. Coughing and deep breathing exercises help prevent atelectasis and pneumonia, making them essential for this patient.