ATI RN
ATI Medical Surgical Proctored Exam Questions
Question 1 of 5
When caring for a client with acute pancreatitis, what intervention is most appropriate?
Correct Answer: B
Rationale: The correct answer is B: Administer pain medication as needed. In acute pancreatitis, pain management is crucial to provide comfort and improve outcomes. Pain medication helps alleviate the severe abdominal pain associated with pancreatitis. It is essential to treat pain promptly to prevent complications and improve the client's quality of life. Encouraging a high-protein diet (A) is not recommended as it may exacerbate pancreatitis symptoms. Providing small, frequent meals (C) may help reduce the workload on the pancreas, but pain management takes precedence. Increasing oral fluid intake (D) is important for hydration but does not address the primary concern of pain relief in acute pancreatitis.
Question 2 of 5
A client is receiving discharge teaching after a total hip replacement. Which statement by the client indicates a need for further teaching?
Correct Answer: D
Rationale: The correct answer is D because bending down to tie shoes after only 2 weeks post total hip replacement can put strain on the hip joint and increase the risk of dislocation. The client should avoid bending past 90 degrees to protect the new hip joint. Choices A, B, and C are all correct statements as they promote hip joint protection and reduce the risk of complications.
Question 3 of 5
A client with deep vein thrombosis (DVT) is receiving heparin therapy. What is the priority assessment for the nurse?
Correct Answer: C
Rationale: The correct answer is C: Assessing for signs of bleeding. This is the priority assessment because heparin therapy increases the risk of bleeding. Signs of bleeding include bruising, petechiae, blood in urine or stool, and excessive bleeding from wounds. Monitoring blood pressure (A) is important but not the priority in this situation. Checking aPTT (B) is important for evaluating the effectiveness of heparin therapy but does not take precedence over assessing for bleeding. Measuring calf circumference (D) is used to detect changes in calf size due to DVT but is not the priority assessment while the client is on heparin therapy.
Question 4 of 5
A healthcare professional is assessing a client with rheumatoid arthritis. Which assessment finding is most characteristic of this disease?
Correct Answer: C
Rationale: The correct answer is C: Morning stiffness lasting more than 30 minutes. This is characteristic of rheumatoid arthritis due to the inflammatory nature of the disease. The prolonged morning stiffness is a hallmark feature, reflecting the systemic inflammation present in rheumatoid arthritis. This symptom is not typically seen in osteoarthritis, which rules out options A and B. Pain that worsens with activity is more indicative of osteoarthritis as opposed to rheumatoid arthritis, making option D incorrect.
Question 5 of 5
A client with a history of gastrointestinal bleeding is taking warfarin (Coumadin). Which instruction should the nurse include in the teaching plan?
Correct Answer: C
Rationale: The correct answer is C: Report any signs of bruising or bleeding to your healthcare provider. This instruction is crucial because warfarin can increase the risk of bleeding, especially in clients with a history of gastrointestinal bleeding. Reporting any signs of bruising or bleeding promptly allows for timely intervention to prevent serious complications. A: Avoiding foods high in vitamin K is not necessary, as consistent intake of vitamin K-containing foods can help maintain stable anticoagulant levels. B: Taking aspirin along with warfarin can increase the risk of bleeding and should be avoided. D: Limiting fluid intake is not directly related to the management of warfarin therapy or gastrointestinal bleeding.