ATI RN
Medical Surgical ATI Proctored Exam Questions
Question 1 of 9
When preparing a client for transfer to the ICU for placement of a pulmonary artery catheter, the nurse should explain that this catheter is used to monitor which of the following conditions?
Correct Answer: D
Rationale: The correct answer is D: Hemodynamic status. A pulmonary artery catheter is used to monitor hemodynamic parameters such as cardiac output, pulmonary artery pressure, and central venous pressure. This helps assess the patient's circulatory status and guide interventions in critically ill patients. Explanation: 1. Pulmonary artery catheter measures cardiac output and helps in assessing the heart's ability to pump blood effectively. 2. It provides information on pulmonary artery pressure which reflects the pressure in the right side of the heart and pulmonary circulation. 3. Central venous pressure is also monitored, indicating the fluid status and right heart function. Summary: A: Intracranial pressure - Incorrect. Pulmonary artery catheter does not monitor intracranial pressure. B: Spinal cord perfusion - Incorrect. Pulmonary artery catheter does not monitor spinal cord perfusion. C: Renal function - Incorrect. Pulmonary artery catheter does not monitor renal function.
Question 2 of 9
In assisting clients with vertigo and balance problems, which team members (RN, LPN/LVN, MD, physical therapist, nursing assistant), working under appropriate supervision, should be assigned to fulfill each task?
Correct Answer: A
Rationale: Assessment and identification of the etiology of vertigo require advanced clinical judgment, making this task appropriate for an RN or MD.
Question 3 of 9
What accurately describes the health care system in which future nurses will be employed?
Correct Answer: C
Rationale: The QSEN project focuses on preparing nurses for real-world practice, and The Joint Commission sets safety goals. Chronic illnesses are increasing due to aging populations, and technology adds complexity rather than simplifying the environment.
Question 4 of 9
Many herbal products that are commonly taken cause surgical problems. Which herbs listed below should the nurse teach the patient to avoid before surgery to prevent an increase in bleeding for the surgical patient (select all that apply)?
Correct Answer: D
Rationale: Herbs like garlic, fish oil, vitamin E, astragalus, and ginkgo biloba can increase bleeding risks and should be avoided before surgery.
Question 5 of 9
Following a bone marrow transplant, the patient has an increased risk for
Correct Answer: B
Rationale: Immunosuppression increases the risk of infection post-transplant.
Question 6 of 9
A patient with a history of pulmonary embolism asks how to lower the risk of experiencing another pulmonary embolism. You respond by saying
Correct Answer: C
Rationale: Prolonged immobility increases the risk of pulmonary embolism.
Question 7 of 9
Patients with rheumatoid arthritis typically have pain
Correct Answer: A
Rationale: RA pain worsens with activity due to joint inflammation.
Question 8 of 9
Mary is diagnosed with gastroesophageal reflux disease. You need to teach Mary to
Correct Answer: D
Rationale: Lifestyle modifications and medications are key in managing GERD.
Question 9 of 9
A college health nurse interprets the peak expiratory flow rate for a student who has asthma and finds that the student is in the yellow zone of his asthma action plan. The nurse should not base her actions on which of the following information?
Correct Answer: D
Rationale: The correct answer is D because the student being in the yellow zone indicates moderate symptoms, not severe enough to necessitate hospitalization. A: Using a quick-relief inhaler is appropriate for yellow zone symptoms. B: Yellow zone indicates asthma is not well controlled, supporting the need for action. C: Peak flow of 50% to 80% signals a reduction in lung function, requiring intervention but not immediate hospitalization. Thus, D is the incorrect choice because hospitalization is not warranted for yellow zone symptoms.