ATI RN
ATI Medical Surgical Proctored Exam Questions
Question 1 of 5
How can a nurse manager best improve hand-off communication among the staff? (SATA)
Correct Answer: D
Rationale: The correct answer is D because utilizing the SHARE model helps standardize hand-off reports and communication. 1. S stands for Situation: providing context. 2. H stands for History: outlining relevant information. 3. A stands for Assessment: sharing assessment findings. 4. R stands for Recommendation: suggesting actions. 5. E stands for Explanation: clarifying any questions. This model ensures all necessary information is communicated effectively. A, B, and C are incorrect because attending hand-off rounds, conducting audits, and creating templates may not ensure standardized communication like the SHARE model does.
Question 2 of 5
After an open lung biopsy, a nurse assesses a client. Which assessment finding is matched with the correct intervention?
Correct Answer: C
Rationale: The correct answer is C because reduced breath sounds after an open lung biopsy could indicate a potential complication like pneumothorax. In this situation, it is crucial for the nurse to call the physician immediately for further assessment and intervention. This prompt action can help prevent worsening of the client's condition and ensure timely treatment. Choice A is incorrect because applying oxygen and pulse oximetry is not directly addressing the potential complication of reduced breath sounds. Choice B is incorrect because withholding pain medication based solely on a low heart rate is not appropriate without further assessment. Choice D is incorrect because decreasing oxygen flow rate without proper assessment could be harmful if the client is experiencing respiratory distress.
Question 3 of 5
A healthcare professional assesses a client's respiratory status. Which information is of highest priority for the healthcare professional to obtain?
Correct Answer: D
Rationale: The correct answer is D: Occupation & hobbies. This information is crucial as certain occupations or hobbies may expose the client to respiratory hazards, influencing their respiratory status. The healthcare professional needs to assess potential respiratory risks in the client's environment. A: Average daily fluid intake is important for overall health but not directly related to respiratory status assessment. B: Neck circumference is more relevant for assessing risk of obstructive sleep apnea rather than overall respiratory status. C: Height & weight are important for assessing overall health and potential respiratory issues like obesity, but not as immediate as assessing respiratory hazards in the client's daily activities.
Question 4 of 5
When caring for an older adult client with a pulmonary infection, what action should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Assess the client's level of consciousness. This is the priority because changes in consciousness can indicate deteriorating respiratory status or potential respiratory distress. Next steps would depend on the assessment findings. A: Encouraging fluid intake is important but not the first priority. C: Raising the head of the bed helps with breathing but doesn't address potential immediate respiratory distress. D: Providing humidified oxygen may be necessary but assessing consciousness comes first to determine the urgency of oxygen therapy.
Question 5 of 5
After auscultating a client's breath sounds, the nurse is providing care. Which finding is correctly matched to the nurse's primary intervention?
Correct Answer: C
Rationale: Step 1: Wheezes indicate narrowing of the airways, typically seen in conditions like asthma. Step 2: Inhaled bronchodilators help dilate the airways, relieving wheezing and improving breathing. Step 3: Hence, administering an inhaled bronchodilator is the correct intervention for wheezes. Summary: A: Increasing oxygen flow does not directly address the issue of wheezes. B: Encouraging coughing does not address the narrowing of airways seen with wheezes. D: Deep breathing does not specifically target the narrowing of airways associated with wheezes.