Medical Surgical ATI Proctored Exam

Medical Surgical ATI Proctored Exam Related

Review Medical Surgical ATI Proctored Exam related questions and content

A college health nurse interprets the peak expiratory flow rate for a student who has asthma and finds that the student is in the yellow zone of his asthma action plan. The nurse should not base her actions on which of the following information?

  • A. The student should use his quick-relief inhaler.
  • B. The student's asthma is not well controlled.
  • C. The student's peak flow is 50% to 80% of his best peak flow.
  • D. The student needs to go to the hospital
Correct Answer: D

Rationale: The correct answer is D because the student being in the yellow zone indicates moderate symptoms, not severe enough to necessitate hospitalization. A: Using a quick-relief inhaler is appropriate for yellow zone symptoms. B: Yellow zone indicates asthma is not well controlled, supporting the need for action. C: Peak flow of 50% to 80% signals a reduction in lung function, requiring intervention but not immediate hospitalization. Thus, D is the incorrect choice because hospitalization is not warranted for yellow zone symptoms.

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An 88-year-old woman is brought to the health clinic for the first time by her 64-year-old daughter. During the initial comprehensive nursing assessment of the patient, what should the nurse do?

  • A. Ask the daughter whether the patient has any urgent needs or problems.
  • B. Interview the patient and daughter together so that pertinent information can be confirmed.
  • C. Obtain a health history using a functional health pattern and assess activities of daily living (ADLs) and mental status.
  • D. Refer the patient for an interdisciplinary comprehensive geriatric assessment because at her age she will have multiple needs.
Correct Answer: C

Rationale: Assessing ADLs, mental status, and obtaining a thorough health history ensures comprehensive understanding of the patient's needs.

What aspect of Mr. Ross’s health history is most indicative of cancer of the lung?

  • A. A positive Tine test
  • B. He is a vegetarian
  • C. He smokes two packs of cigarettes a day
  • D. He last visited a physician 2 years ago
Correct Answer: C

Rationale: Smoking is the strongest risk factor for lung cancer.

List in order the steps that are required to perform this function.

  • A. Obtain an order for a chest x-ray to document tube placement
  • B. Secure the tube in place
  • C. Auscultate the chest during assisted ventilation
  • D. Confirm that the breath sounds are equal and bilateral
Correct Answer: B

Rationale: Securing the tube ensures it remains in place during further assessments.

What best evaluates Mrs. West’s situation with wound separation and purulent drainage?

  • A. This response is consistent with the inflammatory process
  • B. Some drainage is to be expected from a surgical incision
  • C. This response indicates a break in sterile technique has occurred
  • D. This wound is healing by first intention
Correct Answer: A

Rationale: Inflammatory signs suggest infection, requiring further evaluation and treatment.

Mary is diagnosed with gastroesophageal reflux disease. You need to teach Mary to

  • A. Avoid coffee, tea, and other caffeine-containing beverages.
  • B. Take histamine 2 blockers, such as ranitidine, as directed.
  • C. Avoid acidic foods such as citrus or tomato.
  • D. All of the above.
Correct Answer: D

Rationale: Lifestyle modifications and medications are key in managing GERD.

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