ATI Medical Surgical Proctored Exam

ATI Medical Surgical Proctored Exam Related

Review ATI Medical Surgical Proctored Exam related questions and content

A client with end-stage heart failure who is awaiting a transplant appears depressed and states, 'I know a transplant is my last chance, but I don't want to become a vegetable.' How should the nurse respond?

  • A. Would you like information about advance directives?
  • B. I will arrange for a psychiatrist to speak with you.
  • C. Do you want to come off the transplant list?
  • D. Would you like to speak with a priest or chaplain?
Correct Answer: A

Rationale: The correct answer is A: Would you like information about advance directives? This is the appropriate response as it addresses the client's concerns about becoming a vegetable and explores their wishes for end-of-life care. Advance directives can help the client make decisions about their care in case they are unable to communicate in the future. The other choices are incorrect because B assumes the client needs psychiatric evaluation, C suggests removing them from the transplant list without exploring their concerns further, and D focuses on spiritual support rather than addressing the client's specific worries about their quality of life post-transplant.

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When interviewing a client recently diagnosed with lung cancer and having a 60-pack-year smoking history, what is the most important action for the nurse to take?

  • A. Educate the client about the importance of quitting smoking to halt cancer progression.
  • B. Encourage the client to disclose both tobacco and marijuana use openly.
  • C. Maintain a nonjudgmental attitude to promote honest communication with the client.
  • D. Provide realistic information about cancer treatment and prognosis without giving false hope.
Correct Answer: C

Rationale: The correct answer is C because maintaining a nonjudgmental attitude promotes honest communication with the client. This is crucial in building trust and rapport, allowing the client to feel comfortable sharing important information about their health and lifestyle. It lays the foundation for effective care and support.

Choice A is not the most important action as quitting smoking, although important, may not be the immediate priority during the initial interview. Choice B, while valuable, is not as crucial as fostering an open and honest relationship with the client. Choice D, although important, may not be the primary focus during the initial meeting and may not promote the necessary trust between the client and nurse.

A nurse criticizes the attending physician and suggests that a different physician should care for the patient. What is your best response?

  • A. Call the nurse away from the patient and remind him that the patient can still hear even if unconscious.
  • B. Report the nurse to the attending physician.
  • C. Ask the nurse why he has such feelings.
  • D. Simply nod your head in agreement.
Correct Answer: A

Rationale: Protecting the patient's dignity and ensuring professionalism is paramount.

Cultural safety describes care that prevents cultural imposition. The nurse must be aware of and include the knowledge of which factors in providing safe cultural care for the patient?

  • A. Values
  • B. Culture
  • C. Ethnicity
  • D. Stereotyping
Correct Answer: A

Rationale: Factors like values, culture, ethnicity, acculturation, and avoiding stereotyping or ethnocentrism help ensure culturally safe care.

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 factors place a client at risk for serotonin syndrome?

  • A. Coprescription of antidepressants from different classes such as MAOIs and SSRIs
  • B. Abnormal levels of cortisol in the body
  • C. Adequate time between weaning from one antidepressant drug to initiating another
  • D. Premenstrual syndrome
Correct Answer: A

Rationale: Combining certain classes of antidepressants increases serotonin levels excessively, leading to serotonin syndrome.

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