Medical Surgical ATI Proctored Exam

Medical Surgical ATI Proctored Exam Related

Review Medical Surgical ATI Proctored Exam related questions and content

A healthcare professional is auscultating the lungs of a client who has pleurisy. Which of the following adventitious breath sounds should the professional expect to hear?

  • A. Loud, scratchy sounds
  • B. Squeaky, musical sounds
  • C. Popping sounds
  • D. Snoring sounds
Correct Answer: A

Rationale: The correct answer is A: Loud, scratchy sounds. Pleurisy is inflammation of the pleura, causing friction between layers of the lung lining, resulting in loud, scratchy sounds known as pleural friction rubs. Squeaky, musical sounds (B) are indicative of wheezing in conditions like asthma. Popping sounds (C) can be heard in conditions like atelectasis or pneumonia. Snoring sounds (D) are typically associated with upper airway obstruction, not pleurisy. Therefore, in the context of pleurisy, the healthcare professional should expect to hear loud, scratchy sounds during auscultation.

You may also like to solve these questions

Patients with rheumatoid arthritis typically have pain

  • A. With activity.
  • B. Only upon awakening.
  • C. Late in the evening.
  • D. All day without remission.
Correct Answer: A

Rationale: RA pain worsens with activity due to joint inflammation.

How should the nurse respond when asked his or her opinion about treatment decisions by the client or their family?

  • A. Provide evidence-based recommendations while respecting autonomy.
  • B. Defer all decisions to the physician.
  • C. Share personal opinions openly.
  • D. Avoid giving any opinion.
Correct Answer: A

Rationale: Providing evidence-based recommendations while respecting the client's autonomy ensures informed decision-making and maintains professionalism.

The nursing care plan for the client with dehydration includes interventions for oral health. Which interventions are within the scope of practice for the LPN/LVN being supervised by the nurse? (Choose all that apply.)

  • A. Remind client to avoid commercial mouthwashes.
  • B. Encourage mouth rinsing with warm saline.
  • C. Assess lips,tongue and mucous membranes.
  • D. Provide mouth care every 2 hours while client is awake.
Correct Answer: A

Rationale: All listed interventions are appropriate and within the LPN/LVN’s scope of practice under supervision. They contribute to maintaining oral health and hydration in dehydrated clients.

Scheduling the administration of analgesics every __ hours often affords a uniform level of pain relief.

  • A. Every 2 hours
  • B. Every 3-4 hours
  • C. Every 6 hours
  • D. Every 7 hours
Correct Answer: B

Rationale: The rationale for this is that administering analgesics on a regular schedule (e.g., every 3-4 hours) helps maintain a steady level of medication in the bloodstream, providing consistent pain relief.

Which is a maladaptive coping mechanism for a client with stress?

  • A. Anger
  • B. Hardiness
  • C. Alcohol
  • D. Self mutilation
Correct Answer: C

Rationale: Substance abuse, such as alcohol, is a common maladaptive coping mechanism that can exacerbate stress and lead to further health issues.

Copyright © 2025 Nokea. All rights reserved.