ATI RN
Medical Surgical ATI Proctored Exam Questions
Question 1 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 2 of 5
A client with asthma has developed viral pharyngitis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C, negative throat culture. In viral pharyngitis, the infection is caused by a virus, not bacteria. Therefore, a throat culture would be negative as it tests for bacterial infection. Option A is incorrect as petechiae are more commonly seen in conditions like meningococcal sepsis. Option B is incorrect as a WBC count of 16,000/mm3 is more indicative of a bacterial infection. Option D is incorrect as severe hyperemia of the pharyngeal mucosa is more typical of bacterial pharyngitis, not viral.
Question 3 of 5
A client is planning to perform nasotracheal suction for a client who has COPD and an artificial airway. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Preoxygenating the client with 100% oxygen for up to 3 minutes helps prevent hypoxia during suctioning. 2. COPD patients are at higher risk for hypoxia due to impaired gas exchange. 3. Preoxygenation helps maintain oxygen saturation levels and reduces the risk of complications. 4. This action supports safe and effective nasotracheal suctioning in clients with COPD and an artificial airway. Summary: - Option A: Performing suctioning for up to four passes can increase the risk of hypoxia and mucosal damage. - Option B: Applying suction to the catheter during advancement can cause trauma and increase the risk of infection. - Option D: Limiting each suction pass to 25 seconds may not provide adequate time for effective suctioning in clients with COPD and artificial airways.
Question 4 of 5
A healthcare professional is reviewing the arterial blood gas results for a client in the ICU who has kidney failure and determines the client has respiratory acidosis. Which of the following findings should the healthcare professional expect?
Correct Answer: A
Rationale: The correct answer is A: Widened QRS complexes. Respiratory acidosis results from inadequate removal of carbon dioxide, leading to increased carbonic acid in the blood and a decrease in blood pH. This acidosis can cause electrolyte imbalances, including hyperkalemia, which can manifest as widened QRS complexes on an ECG due to the effect of high potassium levels on cardiac conduction. Hyperactive deep tendon reflexes (B) are associated with conditions such as hyperthyroidism or hypocalcemia. Bounding peripheral pulses (C) are seen in conditions like aortic regurgitation or hyperthyroidism. Warm, flushed skin (D) is more indicative of conditions like hyperthermia or sepsis.
Question 5 of 5
The nursing care plan for the client with dehydration includes interventions for oral health. Which interventions are within the scope of practice for the LPN/LVN being supervised by the nurse? (Choose all that apply.)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.