ATI RN
ATI Detailed Answer Key Medical Surgical Questions
Question 1 of 5
Priority Decision: A patient in the PACU has emergence delirium manifested by agitation and thrashing. What should the nurse assess for first in the patient?
Correct Answer: A
Rationale: Hypoxemia is a common cause of agitation and delirium during emergence from anesthesia.
Question 2 of 5
In teaching parents to associate prevention with the lifestyle of their child with sickle cell disease, the nurse should emphasize that a priority for their child is to:
Correct Answer: D
Rationale: Immunizations protect against infections that can trigger crises.
Question 3 of 5
A female postoperative client has returned to the Unit following a pneumonectomy. In assessing the client's incision, twenty-four hours postoperatively, the nurse notices fresh blood on the dressing. The nurse should first:
Correct Answer: C
Rationale: The dressing should not be reinforced without notifying the physician. The physician may decide to reinforce the dressing after assessing the amount of bleeding. Blood on the dressing is unusual, which should alert the nurse to do more than monitor the dressing. The physician should be notified immediately. If the bleeding persists, the client may need to return to surgery. The time and amount of blood needs to be recorded, but only after the physician is notified.
Question 4 of 5
What diet would be most appropriate for Mr. Puff on discharge?
Correct Answer: D
Rationale: Small, frequent meals prevent overeating and reduce respiratory workload.
Question 5 of 5
A client continually repeats phrases that others have just said. The nurse recognizes this behavior as:
Correct Answer: C
Rationale: Echolalia is the repetition of words or phrases heard from others.