ATI RN
ATI Medical Surgical Proctored Exam Questions
Question 1 of 5
A patient is receiving discharge instructions after experiencing a stroke. Which instruction is most important for preventing another stroke?
Correct Answer: A
Rationale: The correct answer is A: Take prescribed antihypertensive medications regularly. This is the most important instruction for preventing another stroke because hypertension is a major risk factor for strokes. By controlling blood pressure with antihypertensive medications, the patient can significantly reduce the risk of another stroke. Engaging in physical therapy exercises (choice B) can be beneficial for overall recovery but is not as critical for stroke prevention as managing blood pressure. Following a low-fat, low-cholesterol diet (choice C) is important for heart health but not the most crucial for stroke prevention. Attending regular follow-up appointments (choice D) is essential for monitoring progress and adjusting treatment but does not directly prevent another stroke like managing hypertension does.
Question 2 of 5
A client with diabetes is experiencing symptoms of hypoglycemia. What should the nurse administer first?
Correct Answer: D
Rationale: The correct answer is D: 15-20 grams of fast-acting carbohydrate orally. In hypoglycemia, the immediate goal is to raise blood glucose levels quickly. Fast-acting carbohydrates like glucose tablets or juice are the most effective and fastest way to raise blood sugar levels. Administering insulin (choice A) would further lower blood sugar levels. Intravenous dextrose (choice B) is appropriate for severe cases but may not be necessary as the first step. Glucagon (choice C) is typically used if the client is unconscious or unable to consume oral carbohydrates.
Question 3 of 5
A nurse is caring for a client with a new diagnosis of type 1 diabetes. What is the most important aspect of teaching the nurse should focus on?
Correct Answer: B
Rationale: The correct answer is B, proper administration of insulin, because it is crucial for managing type 1 diabetes. Insulin is essential for regulating blood sugar levels in type 1 diabetes patients. Without proper insulin administration, the client's condition can deteriorate rapidly. Regular exercise (A) and a low-carbohydrate diet (C) are important aspects of diabetes management, but they are not as critical as ensuring proper insulin administration. Recognizing signs of hyperglycemia (D) is important, but knowing how to administer insulin correctly takes precedence in effectively managing type 1 diabetes.
Question 4 of 5
A nurse is assessing a client with a history of seizures. Which assessment finding requires immediate intervention?
Correct Answer: D
Rationale: The correct answer is D because prolonged seizures lasting longer than 5 minutes can lead to status epilepticus, a medical emergency that can cause brain damage or even death. Immediate intervention is necessary to stop the seizure activity. Auras (A) are warning signs of an impending seizure and do not require immediate intervention. Antiseizure medication within therapeutic range (B) indicates proper management. Being seizure-free for 2 years (C) is a positive outcome but does not require immediate intervention unless a seizure occurs.
Question 5 of 5
When caring for a client with Alzheimer's disease, what is the most appropriate communication technique for a nurse to use?
Correct Answer: C
Rationale: The most appropriate communication technique for a client with Alzheimer's disease is using simple and direct statements (Choice C). This approach is effective because it helps reduce confusion and enhances understanding for individuals with cognitive impairment. Complex explanations (Choice A) may overwhelm the client. Speaking loudly (Choice B) can be perceived as aggressive or intimidating. Offering multiple choices (Choice D) may lead to decision-making difficulties. Therefore, Choice C is the best option for clear and effective communication with Alzheimer's clients.