ATI RN
Medical Surgical ATI Proctored Exam Questions
Question 1 of 9
Mrs. Blakely's postoperative course is otherwise uneventful, and she is fitted with corrective glasses. For Mrs. Blakely to adjust to wearing her new eyeglasses, it would be most important to teach her that
Correct Answer: A
Rationale: After cataract surgery, colors may appear brighter due to the removal of the cloudy lens, which previously muted perception of certain wavelengths.
Question 2 of 9
Tom is diagnosed with congestive heart failure and asks why fluid accumulates in his lungs. You respond by saying
Correct Answer: D
Rationale: Left-sided heart failure leads to pulmonary congestion as blood backs up in the lungs.
Question 3 of 9
Denise is recovering from an open cholecystectomy. You know that because of the location of the surgery, she has an increased chance of postoperative
Correct Answer: B
Rationale: Abdominal surgeries can increase the risk of respiratory complications due to reduced lung expansion.
Question 4 of 9
A client in the intensive care unit is receiving teaching before removal of an endotracheal tube. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: The correct answer is C: Avoid speaking for extended periods. This instruction is important to prevent strain on the vocal cords and reduce the risk of aspiration or airway irritation post-extubation. Speaking after the removal of the endotracheal tube can potentially lead to complications. Step-by-step rationale: 1. Speaking can cause strain on the vocal cords, which may lead to hoarseness or damage. 2. It is essential to allow the airway to recover and prevent irritation or inflammation. 3. Resting the voice can aid in the healing process and reduce the risk of complications. 4. Incentive spirometer use (option B) is important for lung expansion but not directly related to vocal cord rest. 5. Vital signs monitoring (option D) is crucial but does not address vocal cord care or prevention of complications. 6. Resting in a side-lying position (option A) is not directly related to vocal cord rest or post-extubation care.
Question 5 of 9
When assessing a patient for anaphylaxis, you would be alert for
Correct Answer: B
Rationale: Anaphylaxis often presents with hives and difficulty breathing.
Question 6 of 9
A client in the emergency department is being cared for by a nurse and has cardiogenic pulmonary edema. The client's assessment findings include anxiousness, dyspnea at rest, crackles, blood pressure 110/79 mm Hg, and apical heart rate 112/min. What is the nurse's priority intervention?
Correct Answer: A
Rationale: The correct answer is A: Provide the client with supplemental oxygen at 5 L/min via facemask. In cardiogenic pulmonary edema, the priority intervention is to improve oxygenation. Supplemental oxygen helps increase oxygen levels and alleviate respiratory distress, reducing the workload on the heart. This intervention addresses the client's dyspnea and anxiousness by improving oxygen delivery. Choice B is incorrect as placing the client in high-Fowler's position with legs in a dependent position can help with breathing but does not address the immediate need for oxygenation. Choice C is incorrect as sublingual nitroglycerin is typically used for angina and not the priority intervention for cardiogenic pulmonary edema. Choice D is incorrect as morphine sulfate IV may be indicated for pain relief and anxiety, but it is not the priority intervention to address the client's oxygenation needs in cardiogenic pulmonary edema.
Question 7 of 9
Match the following types of pain in the left column with a category of pain from the upper right column and an example of the source of the pain from the lower right column.
Correct Answer: D
Rationale: Pain felt along the distribution of peripheral nerve(s) from nerve damage
Question 8 of 9
Vince has been taking excessive amounts of over-the-counter antacid tablets. He has been exhibiting signs of irritability, anxiety, muscle cramping, and weakness, and has recently developed tetany. The physician has initiated seizure precautions. He recognizes that the patient is being monitored and treated for:
Correct Answer: D
Rationale: The correct answer is Metabolic alkalosis (D). Excessive intake of antacids containing bicarbonate or calcium carbonate can lead to metabolic alkalosis. Symptoms such as irritability, anxiety, muscle cramping, weakness, and tetany are consistent with elevated blood pH levels due to increased bicarbonate levels.
Question 9 of 9
Which drug fits within the category of anxiolytic drugs for obsessive-compulsive disorder?
Correct Answer: D
Rationale: Xanax (alprazolam) is a benzodiazepine commonly prescribed for anxiety and panic disorders.