ATI Medical Surgical Proctored Exam

ATI Medical Surgical Proctored Exam Related

Review ATI Medical Surgical Proctored Exam related questions and content

A client has a pleural chest tube. Which action should the nurse take to ensure safe use of this equipment?

  • A. Never strip the tubing to maintain patency.
  • B. Secure tubing junctions with tape to prevent accidental disconnections.
  • C. Set wall suction at the level recommended by the device manufacturer.
  • D. Keep padded clamps at the bedside for use if the drainage system is interrupted.
Correct Answer: D

Rationale: The correct answer is D: Keep padded clamps at the bedside for use if the drainage system is interrupted. This is essential because if the drainage system is interrupted, the nurse needs to immediately clamp the tube to prevent air from entering the pleural space. Clamping the tube can prevent a potentially life-threatening situation.

A: Never strip the tubing to maintain patency - Stripping the tubing can lead to increased negative pressure, which can be harmful.
B: Secure tubing junctions with tape to prevent accidental disconnections - While securing tubing is important, clamping the tube in case of interruption is more critical.
C: Set wall suction at the level recommended by the device manufacturer - This is important for proper functioning but not as crucial as having clamps ready for emergencies.

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What nursing action is most important initially for Ms. Jenkins with pneumococcal pneumonia?

  • A. Administer humidified oxygen, as ordered
  • B. Obtain an order for aspirin
  • C. Auscultate the posterior basal segments for rales and rhonchi
  • D. Explain the diagnosis to the patient
Correct Answer: A

Rationale: Oxygen therapy addresses hypoxemia, a primary concern in pneumonia.

A client had an inferior wall myocardial infarction (MI). The nurse notes the client's cardiac rhythm as shown below. What action by the nurse is most important?

  • A. Assess the client's blood pressure and level of consciousness.
  • B. Call the health care provider or the Rapid Response Team.
  • C. Obtain a permit for an emergency temporary pacemaker insertion.
  • D. Prepare to administer antidysrhythmic medication.
Correct Answer: A

Rationale: The correct action is to assess the client's blood pressure and level of consciousness. This is crucial in a client with an inferior wall MI to monitor for potential complications like cardiogenic shock. Assessing these vital signs can provide immediate information on the client's hemodynamic stability. Calling the health care provider or Rapid Response Team may be necessary based on assessment findings. Obtaining a permit for a temporary pacemaker insertion and preparing to administer antidysrhythmic medication are not the most immediate priorities and may not address the client's current needs.

Which patient is at greatest risk for pancreatic cancer?

  • A. An elderly black male with a history of smoking and alcohol use.
  • B. A young,white obese female with no known health issues.
  • C. A young black male with juvenile onset diabetes.
  • D. An elderly white female with a history of pancreatitis.
Correct Answer: A

Rationale: Smoking and alcohol use are major risk factors for pancreatic cancer, making the elderly black male with these habits at highest risk.

Which action best demonstrates respect for autonomy when working with a client?

  • A. Asks if the client has questions before signing a consent form
  • B. Provides the client with accurate information when questioned
  • C. Honors the promises made to the client and family
  • D. Ensures fair treatment of the client compared to others
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.

What should the nurse do while dealing with older adults who lose the ability to hear at high-pitched ranges?

  • A. Lower the voice pitch.
  • B. Insert a stethoscope in the client’s ears.
  • C. Use a magic slate or chalkboard.
  • D. Ensure that the hearing aid is in good working order.
Correct Answer: A

Rationale: Lowering the voice pitch accommodates age-related hearing loss, improving communication clarity.

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