ATI RN
ATI Detailed Answer Key Medical Surgical Questions
Question 1 of 5
Which test involves providing quick responses to words like 'mother...', 'work...', et ?
Correct Answer: B
Rationale: The Word Association Test requires clients to quickly respond to words, revealing unconscious thoughts and emotions through their responses.
Question 2 of 5
Which of the following nursing actions is helpful for older clients who are experiencing lens changes associated with aging?
Correct Answer: A
Rationale: Large-sized letters help compensate for decreased visual acuity due to aging-related lens changes.
Question 3 of 5
The healthcare provider is caring for a postoperative client who has a chest tube connected to suction and a water seal drainage system. Which of the following indicates to the healthcare provider that the chest tube is functioning properly?
Correct Answer: A
Rationale: The correct answer is A: Fluctuation of the fluid level within the water seal chamber. This indicates proper chest tube function as it shows that the system is maintaining the desired pressure and allowing for adequate drainage without obstruction. When the patient breathes in and out, the fluid level fluctuates due to changes in intrathoracic pressure. Explanation of other choices: B: Absence of fluid in the drainage tubing - This would indicate a problem with drainage, possibly due to a blockage in the tubing. C: Continuous bubbling within the water seal chamber - This would suggest an air leak in the system, which is not ideal as it can lead to lung collapse. D: Equal amounts of fluid drainage in each collection chamber - While equal drainage is good, it does not specifically indicate proper chest tube function like the fluctuation of the fluid level does.
Question 4 of 5
When caring for a client with pain, which of the following is essential throughout the client’s care?
Correct Answer: A
Rationale: The correct answer is A because ensuring that pain management is prioritized by both nursing staff and the healthcare facility is crucial for consistent and effective care.
Question 5 of 5
A client is 1-day postoperative following a left lower lobectomy and has a chest tube in place. When assessing the client's three-chamber drainage system, the nurse notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Verify that the suction regulator is on and check the tubing for leaks. Rationale: 1. Lack of bubbling in the suction control chamber indicates suction may not be working. 2. Checking the suction regulator ensures it is on and at the correct level for proper drainage. 3. Checking tubing for leaks ensures the system is intact and functioning properly. 4. This intervention addresses the potential issue of inadequate suction, which can affect the client's postoperative recovery. Summary: - Option A: Continuing to monitor is not appropriate as lack of bubbling suggests an issue with suction. - Option B: Adding more water to the suction control chamber is unnecessary and does not address the root cause. - Option D: Milking the chest tube is not recommended as it can cause trauma and dislodging clots may lead to complications.