ATI RN
Adult Medical Surgical ATI Questions
Question 1 of 5
A client had a total hip arthroplasty. Which of the following prescriptions should the nurse verify with the provider?
Correct Answer: C
Rationale: The correct answer is C because restricting flexion of the hip past 120° is crucial to prevent dislocation of the prosthetic hip joint post-operatively. Excessive flexion can lead to instability and potential complications. The other options are important but do not directly relate to the risk of hip dislocation. Administering enoxaparin helps prevent blood clots, using a wedge or pillow between the legs promotes proper alignment and comfort, and performing foot and calf exercises aids in preventing blood clots as well. However, restricting hip flexion is the most critical for the client's safety and optimal recovery after a total hip arthroplasty.
Question 2 of 5
You are preparing to discharge a client whose calcium level was low but is now just slightly within the normal range (9-10.5 mg/dL). Which statement by the client indicates the need for additional teaching?
Correct Answer: C
Rationale: The correct answer is C. Taking calcium supplements on an empty stomach can reduce their absorption. Calcium pills should be taken with food for optimal absorption. Options A, B, and D demonstrate good understanding of calcium management. Option A shows awareness of symptoms of hypocalcemia, B indicates proper supplementation, and D reflects knowledge of foods high in calcium that can interfere with supplement absorption.
Question 3 of 5
You are admitting an elderly client to the medical unit. Which factor indicates that this client has a risk for acid-base imbalances?
Correct Answer: D
Rationale: The correct answer is D: Chronic renal insufficiency. Chronic renal insufficiency can lead to metabolic acidosis or alkalosis due to impaired kidney function in regulating acid-base balance. Renal insufficiency can cause retention or loss of bicarbonate ions, leading to imbalances. Myocardial infarction, occasional use of antacids, and shortness of breath with extreme exertion are not direct risk factors for acid-base imbalances.
Question 4 of 5
Exercise can improve circulation and cardiovascular fitness by decreasing
Correct Answer: B
Rationale: The correct answer is B because exercise can improve circulation and cardiovascular fitness by reducing the heart rate and blood pressure. When we exercise, our heart becomes more efficient at pumping blood, leading to a lower resting heart rate and reduced blood pressure. This helps improve circulation and strengthens the cardiovascular system. Explanation for why the other choices are incorrect: A: The number of small blood vessels throughout the body - Exercise actually promotes the growth of new blood vessels, improving circulation. C: High-density lipoproteins (HDL) in the blood - Exercise can increase HDL levels, which is beneficial for heart health. D: The body’s breathing capacity - Exercise can improve lung function and increase breathing capacity, but it is not directly related to circulation or cardiovascular fitness.
Question 5 of 5
To do an effective breast self-examination, when should the woman examine her breasts?
Correct Answer: A
Rationale: The correct answer is A: During the fourth to the seventh menstrual cycle day. This is because breasts are least likely to be swollen or tender during this time, allowing for a more accurate examination. Choice B is incorrect as regular monthly examinations are recommended. Choice C can be done while standing up or lying down. Choice D is incorrect as breasts may be more tender and swollen closer to the menstrual cycle, making it harder to detect abnormalities.