ATI RN
Free Medical Surgical Certification Practice Questions Questions
Question 1 of 9
How does client and family care differ for a client with an acute terminal illness versus a chronic terminal illness?
Correct Answer: A
Rationale: Acute terminal illnesses necessitate rapid, intensive interventions, whereas chronic conditions emphasize sustained symptom management and support.
Question 2 of 9
What condition could predispose a client to shock?
Correct Answer: B
Rationale: Heart failure reduces cardiac output, leading to inadequate tissue perfusion and shock.
Question 3 of 9
What is your primary responsibility in preparing for disaster management that includes natural disasters or bioterrorism incidents?
Correct Answer: A
Rationale: Understanding the emergency response plan is crucial for effective disaster management.
Question 4 of 9
What is the typical weight gain in the year after smoking cessation?
Correct Answer: C
Rationale: The correct answer is C because it is the most appropriate response based on physiological and medical principles.
Question 5 of 9
The charge nurse on the eating disorder unit instructs a new staff member to weigh each client in his or her hospital gown only. What is the rationale for this nursing intervention?
Correct Answer: D
Rationale: Clients with eating disorders may hide objects to manipulate weight readings.
Question 6 of 9
Your patient is a 25-year-old woman just diagnosed with hydatidiform mole. You would expect:
Correct Answer: A
Rationale: Hydatidiform moles produce high levels of hCG, which is used for diagnosis and monitoring.
Question 7 of 9
5. Which statement accurately describes the use of complementary and alternative medicine (CAM)?
Correct Answer: D
Rationale: Option D correctly reflects the dynamic nature of CAM practices, which can vary across cultures and times, unlike the other options that contain inaccuracies.
Question 8 of 9
A client with chronic obstructive pulmonary disease (COPD) appears thin and disheveled. Which question should the nurse ask first?
Correct Answer: C
Rationale: The correct question to ask first is C: "Do you experience shortness of breath with basic activities?" This is because shortness of breath is a common and concerning symptom in COPD patients that can greatly impact their quality of life and indicate disease progression. By addressing this symptom first, the nurse can assess the severity of the client's condition and determine the immediate need for intervention or treatment. Asking about support system (A) is important but not as urgent as addressing the primary symptom. Inquiring about the client's understanding of the disease (B) and medications (D) is also important but should come after addressing the immediate symptom of shortness of breath.
Question 9 of 9
The client's potassium level is 6.7 mEq/L. Which intervention should you delegate to the student nurse under your supervision?
Correct Answer: C
Rationale: Assessing the ECG strip for tall T waves is a task that can be delegated to a student nurse. This allows for monitoring the effects of hyperkalemia without administering medications, which requires more advanced clinical judgment.