ATI RN
Adult Medical Surgical ATI Questions
Question 1 of 9
Before giving a beta-adrenergic blocker glaucoma agent, you would notify the physician if the client discloses a history of what condition?
Correct Answer: D
Rationale: Beta-adrenergic blockers can exacerbate bradycardia, so the physician should be notified before administration.
Question 2 of 9
Which eye procedure is used to remove the epithelial layer of the cornea while a laser sculpts the cornea to correct refractive errors?
Correct Answer: A
Rationale: PRK involves removing the epithelial layer before reshaping the cornea with a laser.
Question 3 of 9
When should discharge planning begin for a patient in a tertiary-care facility?
Correct Answer: A
Rationale: Rationale: A: Discharge planning should begin on the day of admission to ensure a smooth transition. This early start allows for comprehensive assessment and coordination of post-discharge needs. B: Waiting until after the acute crisis is resolved may lead to rushed planning and potential gaps in care. C: Discharge planning should not solely rely on the physician's discharge order as it may not address all aspects of the patient's needs. D: Patient readiness is important, but starting planning early ensures sufficient time for assessment and interventions.
Question 4 of 9
A 56-year-old patient comes to the walk-in clinic for scant rectal bleeding and intermittent diarrhea and constipation for the past several months. There is a history of polyps and a family history for colorectal cancer. While you are trying to teach about colonoscopy, the patient becomes angry and threatens to leave. What is the priority diagnosis?
Correct Answer: D
Rationale: The patient's anger and threat to leave indicate significant anxiety, which must be addressed before proceeding with education or further assessment.
Question 5 of 9
An excited mother calls you for advice. 'My child got cleaning solution in the eyes and I rinsed it out with water. What should I do? She is still screaming!' What do you instruct the caller to do immediately?
Correct Answer: B
Rationale: Continuing to irrigate the eyes helps flush out any remaining chemical irritants and minimizes damage.
Question 6 of 9
A client is 12 hours postoperative following colon resection. Which of the following interventions should the nurse include in the plan to reduce respiratory complications?
Correct Answer: D
Rationale: The correct answer is D because splinting the incision supports coughing, which helps clear secretions and prevents respiratory complications. It is essential postoperatively to prevent atelectasis and pneumonia. Using an incentive spirometer (A) aids in lung expansion but does not directly support coughing. Ambulation (B) promotes circulation but does not address respiratory concerns. Maintaining a supine position with an abdominal binder (C) may restrict diaphragmatic movement and increase the risk of respiratory complications.
Question 7 of 9
A 35-year-old female client has returned to her room following surgery on her right femur. She has an IV of D5 1/2 NS infusing at 125 cc/hr, and is receiving morphine sulfate 10-15 mg IM q4h prn for pain. The client last voided 5 1/2 hours ago when she was given her preoperative medication. To monitor and promote the return of urinary function after surgery, the nurse should:
Correct Answer: C
Rationale: Provision of food and fluids promotes bowel elimination. Postoperative nutritional needs are physician determined, not client determined. Increasing IV fluids postoperatively will not cause a client to void. Any change in the rate of administration of IV fluids is determined by the physician, not the nurse. If the postoperative client with normal kidney function cannot void 8 hours after surgery, the client is retaining urine. The client may need catheterization or medication. The physician will provide orders for either, as necessary. While morphine sulfate can cause urinary retention, withholding pain medication will not ensure that the client will void. The client with uncontrolled pain will probably not be able to void.
Question 8 of 9
When a client is having a general tonic clonic seizure, the nurse should:
Correct Answer: B
Rationale: Placing the client on their side prevents aspiration.
Question 9 of 9
To communicate with a patient who does not speak the dominant language, the nurse should
Correct Answer: A
Rationale: Speaking slowly, using gestures, and utilizing translation tools facilitate effective communication. Using family members as interpreters can introduce bias and inaccuracies.