ATI RN
ATI Medical Surgical Proctored Exam Questions
Question 1 of 5
When working as a professional nurse, what is the priority for a new nurse working on an inpatient medical-surgical unit with a preceptor?
Correct Answer: B
Rationale: The correct answer is B: Ensuring client safety. This is the priority for a new nurse working on an inpatient medical-surgical unit with a preceptor because safety is the foundation of nursing care. Ensuring client safety involves preventing harm, maintaining a safe environment, and implementing appropriate interventions. Attending to holistic client needs (A) and providing client-focused care (D) are important aspects of nursing practice but ensuring client safety takes precedence. Avoiding medication errors (C) is crucial for patient safety but is just one aspect of ensuring overall client safety.
Question 2 of 5
Which action best demonstrates respect for autonomy when working with a client?
Correct Answer: A
Rationale: The correct answer is A because asking if the client has questions before signing a consent form shows respect for autonomy by allowing the client to make an informed decision. This action promotes the client's right to self-determination and involvement in the decision-making process. Choice B focuses on providing information when questioned but may not actively involve the client in the decision-making process. Choice C refers to honoring promises and not necessarily respecting autonomy. Choice D relates to fairness but does not directly address autonomy or the client's decision-making ability.
Question 3 of 5
A student asks the faculty to explain best practices when communicating with a person from the LGBTQ community. What answer by the faculty is most accurate?
Correct Answer: B
Rationale: The correct answer is B: Don't make assumptions about their health needs. Rationale: 1. LGBTQ individuals have diverse health needs. 2. Making assumptions can lead to inappropriate or inadequate care. 3. By not assuming, you show respect and promote open communication. 4. This approach fosters trust and ensures individualized care. Other choices: A: Avoiding questions can hinder understanding and communication. C: Generalizing that most LGBTQ individuals do not share information is inaccurate. D: Differences exist in the LGBTQ community that should be acknowledged for effective communication.
Question 4 of 5
During a call to the on-call physician about a client who had a hysterectomy 2 days ago & has unrelieved pain from prescribed narcotic medication, which statement is part of the SBAR format for communication?
Correct Answer: B
Rationale: The correct answer is B because it provides relevant information regarding the client's allergies to morphine and codeine, which is crucial for the physician to know when considering alternative pain medication options. This aligns with the "Background" component of the SBAR format, which includes pertinent patient history. Choice A is incorrect because it jumps to a solution without providing necessary background information. Choice C is irrelevant to the current situation as it does not address the client's pain management issue. Choice D is also incorrect as it only provides historical information about the type of hysterectomy performed, which is not directly related to the client's current pain management concern.
Question 5 of 5
A nurse working on a cardiac unit delegated taking vital signs to an experienced unlicensed assistive personnel (UAP). Four hours later, the nurse notes the client's blood pressure is much higher than previous readings & the client's mental status has changed. What action by the nurse would most likely have prevented this negative outcome?
Correct Answer: C
Rationale: The correct answer is C: Providing more appropriate supervision of the UAP. By providing adequate supervision, the nurse can ensure that the UAP is performing tasks correctly and can intervene if any issues arise. This would have likely prevented the negative outcome as the nurse could have identified the high blood pressure and changed mental status earlier. A: Determining if the UAP knew how to take blood pressure - While assessing the UAP's competence is important, it does not address the need for ongoing supervision and oversight. B: Double-checking the UAP by taking another blood pressure - This approach does not address the root cause of the issue, which is the lack of appropriate supervision. D: Taking the blood pressure instead of delegating the task - This is not a sustainable solution as delegating tasks to UAPs is a common practice in healthcare settings. Providing appropriate supervision is key to ensuring safe and effective delegation.