ATI RN
ATI Detailed Answer Key Medical Surgical Questions
Question 1 of 5
For the nursing diagnoses and written patient outcomes listed below, use the Nursing Interventions Classification (NIC) to identify a specific nursing intervention to help the patient reach the outcome.
Correct Answer: A
Rationale: For preventing pressure ulcers, interventions like turning and positioning are critical. For constipation, increasing fluid and fiber intake is key.
Question 2 of 5
Which of the following describes a 'comfort zone'?
Correct Answer: B
Rationale: A comfort zone typically refers to the personal space around an individual, which varies but generally extends up to 5-7 feet.
Question 3 of 5
During an assessment of a patient who sustained a head injury 24 hours ago, the medical-surgical nurse notes the development of slurred speech and disorientation to time and place. The nurse's initial action is to
Correct Answer: B
Rationale: Neurological changes could indicate worsening intracranial pressure, necessitating immediate physician notification.
Question 4 of 5
Which nursing actions would demonstrate the nurse’s understanding of the concept of providing safe care without using restraints (select all that apply)?
Correct Answer: B
Rationale: Low beds, frequent checks, and strategic placement reduce risks without resorting to physical restraints.
Question 5 of 5
What is the best strategy for communicating with clients with Limited English Proficiency (LEP)?
Correct Answer: C
Rationale: Certified interpreters ensure accurate and culturally sensitive communication, minimizing errors and misunderstandings.