Adult Medical Surgical ATI

Adult Medical Surgical ATI Related

Review Adult Medical Surgical ATI related questions and content

A client is being admitted to the surgical unit from the PACU following a cholecystectomy. Which of the following assessments is the nurse's priority?

  • A. Bowel sounds
  • B. Surgical dressing
  • C. Temperature
  • D. Oxygen saturation
Correct Answer: D

Rationale: The correct answer is D: Oxygen saturation. The priority assessment after a cholecystectomy is monitoring the client's oxygen saturation to ensure adequate oxygenation post-surgery. Decreased oxygen saturation can indicate respiratory distress, which requires immediate intervention. Bowel sounds (A) are important but not the priority post-cholecystectomy. Surgical dressing (B) should be assessed, but it is not as critical as monitoring oxygen saturation. Temperature (C) is also important, but ensuring oxygenation takes precedence in the immediate postoperative period.

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Your patient is often fatigued as a result of having anemia. She asks you why she is fatigued. You respond by saying

  • A. Destruction (hemolysis) of the red blood cells.
  • B. Paleness (pallor) of the skin.
  • C. Lack of nutritional intake of essential nutrients, such as iron or B12.
  • D. Decreased oxygen-carrying capability of the blood.
Correct Answer: D

Rationale: Anemia reduces the blood's ability to carry oxygen, leading to fatigue.

What is the first sign that the condition of a dying client is worsening?

  • A. Pulmonary function impairment
  • B. Peripheral circulation changes
  • C. Central nervous system alterations
  • D. Failing cardiac function
Correct Answer: C

Rationale: Central nervous system changes, such as confusion or lethargy, often indicate declining health in terminal stages.

Which technique facilitates interactions between the nurse and client?

  • A. Ask questions that can be answered with yes or no.
  • B. Sit within the client’s comfort zone.
  • C. Avoid making eye contact.
  • D. Address clients by their first names.
Correct Answer: B

Rationale: Respecting personal space enhances trust and comfort during interactions.

When a client is having a general tonic clonic seizure, the nurse should:

  • A. Hold the client's arms at their side.
  • B. Place the client on their side.
  • C. Insert a padded tongue blade in client's mouth.
  • D. Elevate the head of the bed.
Correct Answer: B

Rationale: Placing the client on their side prevents aspiration.

A client is scheduled for a coronary artery bypass graft (CABG) in the morning using a saphenous vein. The physician does not use the internal mammary artery for the bypass graft, because the internal mammary artery:

  • A. takes more time to remove.
  • B. has a greater risk of becoming reoccluded.
  • C. is smaller in diameter.
  • D. has too many valves.
Correct Answer: A

Rationale: Many physicians do not use the internal mammary artery because it is time consuming. Removing the internal mammary artery does not pose a greater risk of reocclusion. In fact, it may stay patent longer. The internal mammary artery is larger in diameter than the saphenous vein. The internal mammary artery does not have too many valves.

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