ATI RN
ATI Medical Surgical Proctored Exam Questions
Question 1 of 9
Total parenteral nutrition(TPN), is one of the home therapies being used for Chelsea Mann, 35, with acute ulcerative colitis causing massive diarrhea. She and her family will need instruction about:
Correct Answer: A
Rationale: Prevention of infection, and potential septicemia, is of prime importance for someone with a central catheter. Mixing TPN is a very specialized procedure, and should be done under laminar airflow by a pharmacist. IV pumps are machines that do malfunction, but the safest thing to do would be to get the manufacturer to do the repair. Having neighbors be a support to Chelsea and her family may not be possible. More information would be necessary prior to choosing this as an option for a nursing diagnosis.
Question 2 of 9
When orienting a new client and family to the inpatient unit, what information should the nurse provide to help the client promote their own safety?
Correct Answer: A
Rationale: Step 1: Encouraging the client and family to be active partners promotes safety by involving them in care decisions. Step 2: This empowers the client to voice concerns and preferences, enhancing their safety. Step 3: Monitoring hand hygiene (B) is important but doesn't directly involve the client's active participation. Step 4: Offering family to stay (C) is supportive but doesn't directly engage the client in promoting their own safety. Step 5: Advising to wear armband (D) is a procedural measure, not a collaborative safety-promoting action.
Question 3 of 9
Match the following care planning tools to the description statement(s). There may be more than one statement per tool and some statements may be used more than once.
Correct Answer: A
Rationale: Nursing Care Plans direct teams, Concept Maps visualize relationships, and Clinical Pathways guide predictable cases.
Question 4 of 9
What is the rationale for using preoperative checklists on the day of surgery?
Correct Answer: B
Rationale: Checklists ensure all necessary steps are completed, enhancing patient safety.
Question 5 of 9
A 54-year-old client has cholelithiasis and is admitted for an elective cholecystectomy. The client is 5 feet 3 inches tall, weighs 205 pounds, and has smoked one pack of cigarettes per day for 35 years. The client will be NPO at midnight. When the client's spouse asks why the client cannot have breakfast the morning before surgery, the nurse should explain:
Correct Answer: B
Rationale: The client's size has nothing to do with an NPO status. Clients are at greatest risk for aspiration and vomiting during surgery when food and/or liquids are in the stomach. Preparation on the morning of surgery is time consuming, but it does not affect a client's NPO status. The gallbladder lies under the surface of the liver and is a part of the biliary tract, not the intestinal tract. Cholecystectomy does not involve the intestinal tract or its contents.
Question 6 of 9
Why are older adults more likely to develop hypovolemic shock?
Correct Answer: C
Rationale: Older adults have less total body water, making them more susceptible to fluid losses and hypovolemic shock.
Question 7 of 9
You anticipate that the physician will order which drug for status epilepticus?
Correct Answer: B
Rationale: Lorazepam is commonly used for rapid control of seizures in status epilepticus.
Question 8 of 9
The nurse is caring for a client with benign prostatic hypertrophy. Which of the following assessments would the nurse anticipate finding?
Correct Answer: C
Rationale: Frequent urination is common due to urethral obstruction.
Question 9 of 9
What is a typical parasomnia?
Correct Answer: D
Rationale: The correct answer is D. Sleep terrors are a classic example of parasomnias, which are abnormal behaviors during sleep. Cataplexy (A) is associated with narcolepsy, hypopnea (B) refers to shallow breathing, and sleep apnea (C) involves breathing interruptions.