ATI RN
Medical Surgical ATI Proctored Exam Questions
Question 1 of 9
What should the nurse prioritize when monitoring an older adult client immediately following a bronchoscopy?
Correct Answer: C
Rationale: The correct answer is C: Confirming the gag reflex. Immediately following a bronchoscopy, the nurse must prioritize confirming the gag reflex to ensure the client can protect their airway. This is crucial to prevent aspiration and respiratory complications. Observing for confusion (choice A) is important but not the priority in this situation. Auscultating breath sounds (choice B) is also important but confirming the gag reflex takes precedence. Measuring blood pressure (choice D) is not directly related to the immediate post-bronchoscopy monitoring.
Question 2 of 9
When selecting audiovisual and written materials as teaching strategies, what is important for the nurse to do?
Correct Answer: C
Rationale: The correct answer is 'Review the materials before use for accuracy and appropriateness to learning needs and goals.' Ensuring the materials are accurate and appropriate is critical to effective teaching. Providing materials beforehand or ensuring they cover all needed information may not always be feasible or necessary.
Question 3 of 9
In assisting clients with vertigo and balance problems, which team members (RN, LPN/LVN, MD, physical therapist, nursing assistant), working under appropriate supervision, should be assigned to fulfill each task?
Correct Answer: A
Rationale: Assessment and identification of the etiology of vertigo require advanced clinical judgment, making this task appropriate for an RN or MD.
Question 4 of 9
An 88-year-old woman is brought to the health clinic for the first time by her 64-year-old daughter. During the initial comprehensive nursing assessment of the patient, what should the nurse do?
Correct Answer: C
Rationale: Assessing ADLs, mental status, and obtaining a thorough health history ensures comprehensive understanding of the patient's needs.
Question 5 of 9
Why does the nurse advise a client with painless lesions, after exposure to anthrax, to avoid contact with others?
Correct Answer: C
Rationale: The correct answer is C because anthrax lesions can release spores that may infect others.
Question 6 of 9
Which vitamin does a client lack if there is a problem with the absorption of calcium?
Correct Answer: D
Rationale: Vitamin D is essential for calcium absorption in the intestines. A deficiency impairs this process.
Question 7 of 9
What best evaluates Mrs. West’s situation with wound separation and purulent drainage?
Correct Answer: A
Rationale: Inflammatory signs suggest infection, requiring further evaluation and treatment.
Question 8 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 9 of 9
You have just received the morning report from the night shift nurses. List the order of priority for assessing and caring for these patients.
Correct Answer: A
Rationale: Tumor lysis syndrome is a life-threatening condition requiring immediate intervention, making it the top priority.