ATI RN
Adult Medical Surgical ATI Questions
Question 1 of 5
You are admitting an elderly client to the medical unit. Which factor indicates that this client has a risk for acid-base imbalances?
Correct Answer: D
Rationale: The correct answer is D: Chronic renal insufficiency. Chronic renal insufficiency can lead to metabolic acidosis or alkalosis due to impaired kidney function in regulating acid-base balance. Renal insufficiency can cause retention or loss of bicarbonate ions, leading to imbalances. Myocardial infarction, occasional use of antacids, and shortness of breath with extreme exertion are not direct risk factors for acid-base imbalances.
Question 2 of 5
To do an effective breast self-examination, when should the woman examine her breasts?
Correct Answer: A
Rationale: The correct answer is A: During the fourth to the seventh menstrual cycle day. This is because breasts are least likely to be swollen or tender during this time, allowing for a more accurate examination. Choice B is incorrect as regular monthly examinations are recommended. Choice C can be done while standing up or lying down. Choice D is incorrect as breasts may be more tender and swollen closer to the menstrual cycle, making it harder to detect abnormalities.
Question 3 of 5
When should discharge planning begin for a patient in a tertiary-care facility?
Correct Answer: A
Rationale: Rationale: A: Discharge planning should begin on the day of admission to ensure a smooth transition. This early start allows for comprehensive assessment and coordination of post-discharge needs. B: Waiting until after the acute crisis is resolved may lead to rushed planning and potential gaps in care. C: Discharge planning should not solely rely on the physician's discharge order as it may not address all aspects of the patient's needs. D: Patient readiness is important, but starting planning early ensures sufficient time for assessment and interventions.
Question 4 of 5
Which chief complaint is NOT desirable for recording on the client’s chart?
Correct Answer: D
Rationale: Correct Answer: D Rationale: 1. Chief complaints should be symptoms or concerns related to the client's health issues. 2. "Physical examination for college" is not a specific symptom or health concern. 3. Chief complaints guide healthcare providers in assessing and treating the client. 4. Recording irrelevant chief complaints can lead to confusion in diagnosis and treatment. Summary of Incorrect Choices: A: Describes specific symptoms, suitable for recording. B: Describes a specific symptom (black stools), suitable for recording. C: Describes a specific symptom (substernal pain), suitable for recording.
Question 5 of 5
While recovering from the anesthetic, what is the best position for Mrs. West?
Correct Answer: D
Rationale: The correct answer is D: Trendelenburg with head to the side. This position helps prevent aspiration by promoting drainage of secretions from the mouth and reducing the risk of airway obstruction. Placing the patient in Trendelenburg position with the head to the side also helps facilitate proper blood flow and ventilation. Supine with legs fully extended (A) may increase the risk of airway obstruction and aspiration. Prone with head turned to the side (B) may obstruct the airway and hinder breathing. Lateral Sims with legs flexed (C) is not suitable for a patient recovering from anesthesia as it may not provide optimal airway clearance and respiratory support.