ATI RN
Medical Surgical ATI Proctored Exam Questions
Question 1 of 9
Which stage of wound healing lasts from 21 days to several months and even 1 to 2 years, allowing the strength of the wound to increase through synthesis of collagen by fibroblasts and lysis by collagenase enzymes?
Correct Answer: C
Rationale: The correct answer is C because the maturation phase involves collagen remodeling and strengthening.
Question 2 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.
Question 3 of 9
The nurse has been assigned to these clients in the emergency room. Which client would the nurse go check first?
Correct Answer: C
Rationale: Tension pneumothorax is a life-threatening condition requiring immediate attention.
Question 4 of 9
An 80-year-old patient is placed in isolation when infected with methicillin-resistant Staphylococcus aureus. The patient was alert and oriented on admission, but is now having visual hallucinations and can follow only simple directions. The medical-surgical nurse recognizes that the changes in the patient's mental status are related to
Correct Answer: C
Rationale: Isolation can lead to sensory deprivation, affecting cognitive function.
Question 5 of 9
A client develops a pulmonary embolism. Which of the following interventions should the nurse implement first?
Correct Answer: B
Rationale: The correct answer is B: Administer oxygen therapy. Oxygen therapy is the priority intervention for a client with a pulmonary embolism to ensure adequate oxygenation and prevent hypoxia. This helps improve oxygen levels in the blood and supports vital organ function. Morphine IV (choice A) may be given for pain relief but is not the initial priority. Starting an IV infusion of lactated Ringer's (choice C) and initiating cardiac monitoring (choice D) may be necessary but do not address the immediate need for oxygenation in a pulmonary embolism.
Question 6 of 9
Which team is the most appropriate for this assignment?
Correct Answer: A
Rationale: An advanced practice nurse has the expertise to assess and manage complex cases, while an experienced LPN/LVN can assist with triage tasks.
Question 7 of 9
When making a home visit to a client with chronic pyelonephritis, which nursing action has the highest priority?
Correct Answer: B
Rationale: Monitoring antibiotic effectiveness is crucial in managing pyelonephritis.
Question 8 of 9
Glaucoma is a preventable condition. Which group is most likely to develop glaucoma and should be targeted for educational programs?
Correct Answer: A
Rationale: African-Americans are at higher risk for developing glaucoma at a younger age and should be prioritized for education and screening.
Question 9 of 9
The following are the monometer measurements of four clients. Which of them has normal intraocular pressure (IOP)?
Correct Answer: B
Rationale: Normal intraocular pressure ranges from 10 to 21 mm Hg. Therefore, 11 mm Hg is within the normal range.