ATI Medical Surgical Proctored Exam

ATI Medical Surgical Proctored Exam Related

Review ATI Medical Surgical Proctored Exam related questions and content

A client is scheduled for a cholecystectomy in the morning. In planning the postoperative care, the priority nursing diagnosis for the client will be at high-risk for:

  • A. knowledge deficit.
  • B. urinary retention.
  • C. impaired physical mobility.
  • D. ineffective breathing pattern.
Correct Answer: D

Rationale: The client may have a knowledge deficit, but reducing the risk for knowledge deficit is not a postoperative priority nursing diagnosis. The client will have a Foley catheter for a day or two after the surgery. Urinary retention is usually not a problem once the Foley catheter is removed. A client having a cholecystectomy should not be physically impaired. The client is encouraged to begin ambulating soon after surgery. Because of the location of the incision, the cholecystectomy client is reluctant to breath deeply and is at risk for developing pneumonia. These clients have to be reminded and encouraged to take deep breaths.

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Match the following care planning tools to the description statement(s). There may be more than one statement per tool and some statements may be used more than once.

  • A. Nursing Care Plan
  • B. Concept Maps
  • C. Clinical Pathway
  • D. All
Correct Answer: A

Rationale: Nursing Care Plans direct teams, Concept Maps visualize relationships, and Clinical Pathways guide predictable cases.

You have been pulled to the telemetry unit for the day. The monitor watcher informs you that the client has developed prominent U waves. Which laboratory value should you check immediately?

  • A. Sodium
  • B. Potassium
  • C. Magnesium
  • D. Calcium
Correct Answer: B

Rationale: Prominent U waves on an ECG strip are typically associated with hypokalemia (low potassium levels). Checking potassium levels is critical to address potential cardiac complications.

A client has a pulmonary embolism & is started on oxygen. The student nurse asks why the client's oxygen saturation has not significantly improved. What response by the nurse is best?

  • A. Breathing so rapidly interferes with oxygenation.
  • B. Maybe the client has respiratory distress syndrome.
  • C. The blood clot interferes with perfusion in the lungs.
  • D. The client needs immediate intubation & mechanical ventilation.
Correct Answer: C

Rationale: Correct Answer: C

Rationale:
1. A pulmonary embolism is a blockage in one of the pulmonary arteries, affecting blood flow to the lungs.
2. This blockage limits perfusion, the process of blood flow through the lungs for oxygenation.
3. Oxygen saturation may not improve significantly because the blood clot interferes with perfusion, not ventilation.
4. Options A and B focus on ventilation issues, which may not be the primary concern in this case.
5. Option D is extreme and not supported by the information given about the client's condition.

Summary:
Choice C is correct because a pulmonary embolism affects perfusion in the lungs, leading to decreased oxygen saturation. Choices A, B, and D are incorrect as they focus on other issues not directly related to the client's condition.

A patient is receiving a continuous infusion of morphine via an epidural catheter following major abdominal surgery. Which actions should the nurse include in the plan of care (select all that apply)?

  • A. Label the catheter as an epidural access
  • B. Assess the patient’s pain relief frequently
  • C. Use sterile technique when caring for the catheter
  • D. Monitor the patient’s level of consciousness (LOC)
Correct Answer: B

Rationale: The correct answers are B. All listed actions are essential for safe and effective care.

When teaching a client with chronic obstructive pulmonary disease about oxygen by cannula, the nurse should also instruct the client's family to:

  • A. Avoid smoking near the client.
  • B. Turn off oxygen during meals.
  • C. Adjust the liter flow to 10 as needed.
  • D. Remind the client to keep mouth closed.
Correct Answer: A

Rationale: Smoking near oxygen poses a fire hazard and exacerbates respiratory issues.

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