ATI RN
Adult Medical Surgical ATI Questions
Question 1 of 9
Which combination of employees is best suited to fulfill this assignment?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 9
The medical-surgical nurse, who cares for a patient newly diagnosed with cancer, observes the patient becoming angry with the physicians and nursing staff. The best approach to diffuse the emotionally charged discussion is to
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 9
Which of the following comments should be given first consideration?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 9
A patient with a breast biopsy positive for cancer tells the nurse that she has been using information from the Internet to try to make a decision about her treatment choices. In counseling the patient, the nurse knows that (select all that apply)
Correct Answer: A
Rationale: The correct answers are 'the patient should be taught how to identify reliable and accurate information available online' and 'the patient should be encouraged to use sites established by universities, the government, or reputable health organizations, such as the American Cancer Society, to access reliable information.' These options promote the use of credible sources while discouraging reliance on potentially unreliable information.
Question 5 of 9
Derek has recently converted his outdoor garage to a gym. He has been exercising frequently in his new gym due to the convenience, even in the extreme heat. He has started taking salt tablets. The physician thinks his current symptoms may be owing to hypernatremia. His physician recognizes these as:
Correct Answer: B
Rationale: The correct answer is Weakness, dizziness, abdominal distention, nausea, vomiting, and diarrhea (B). Hypernatremia occurs when there is an excess of sodium in the body, often due to dehydration or excessive salt intake. Symptoms include gastrointestinal disturbances, neurological symptoms like confusion and dizziness, and muscle weakness.
Question 6 of 9
Your neighbor tells you about her preteen son. It seems that he has an ongoing head cold. His sinus is congested; he is not eating regularly and is losing weight. Your neighbor reports that his head cold is so bad that he has to wear sunglasses even in the house. She asks him to remove the glasses but he becomes agitated. You noticed her son is around the neighborhood during school hours when the rest of the family is working. What is your best response?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 7 of 9
On assessing Mr. Puff, what would you expect to find?
Correct Answer: C
Rationale: The correct answer is C: Increased anteroposterior chest diameter. In patients with chronic obstructive pulmonary disease (COPD), like Mr. Puff, there is often air trapping leading to hyperinflation of the lungs. This results in an increased anteroposterior chest diameter, known as a "barrel chest" appearance. Option A (‘Blue bloater’ appearance) is associated with chronic bronchitis, not necessarily COPD. Option B (Copious amount of thin sputum) is more indicative of bronchiectasis. Option D (Prolonged inspiratory time) is a nonspecific finding and not typically associated with COPD.
Question 8 of 9
When performing tracheostomy care, which intervention should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C: Secure new tracheostomy ties before removing old ones. This is essential to ensure the patient's airway remains stable and secure during the procedure. By securing the new ties first, the tracheostomy tube will not accidentally dislodge or become displaced. A: Using aseptic technique is important but not the immediate priority in this situation. B: Cleaning the inner cannula is a routine part of tracheostomy care but not the primary intervention during tie change. D: Applying suction when inserting the catheter is incorrect as suctioning should be performed after securing the new ties to maintain airway patency.
Question 9 of 9
Upon hearing that he has acute pericarditis, the patient asks how he could have contracted the disease. The best response is
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.