ATI Medical Surgical Proctored Exam

ATI Medical Surgical Proctored Exam Related

Review ATI Medical Surgical Proctored Exam related questions and content

A healthcare professional is interested in making interdisciplinary work a high priority. Which actions by the professional best demonstrate this skill? (Select ONE that does not apply)

  • A. Consulting with other disciplines on client care
  • B. Coordinating discharge planning for home safety
  • C. Participating in comprehensive client rounding
  • D. Sharing the care plans with other disciplines
Correct Answer: B

Rationale: The correct answer is B because coordinating discharge planning for home safety is not directly related to interdisciplinary work. The other choices (A, C, D) involve active collaboration and communication with different disciplines to ensure comprehensive client care. Consulting with other disciplines, participating in client rounding, and sharing care plans all demonstrate a high priority on interdisciplinary work by fostering teamwork and integration of various perspectives to enhance patient outcomes. In contrast, coordinating discharge planning for home safety is more focused on individual patient needs and safety rather than interdisciplinary collaboration.

You may also like to solve these questions

At what point should a 24-year-old client without a family history of eye disease have an eye exam?

  • A. Annually after the age of 30
  • B. Initially, a thorough exam at the age of 40
  • C. Initially, a thorough exam at the age of 50
  • D. Annually after the age of 50
Correct Answer: B

Rationale: For individuals without risk factors, a baseline eye exam is recommended at age 40 to detect early signs of age-related conditions.

The client with a chest tube after a coronary artery bypass graft has significantly slowed drainage. What action is most important for the nurse to take?

  • A. Increase the setting on the suction.
  • B. Notify the provider immediately.
  • C. Re-position the chest tube.
  • D. Take the tubing apart to assess for clots.
Correct Answer: B

Rationale: The correct answer is B: Notify the provider immediately. This is the most important action because significantly slowed drainage in a client with a chest tube after surgery can indicate a potential complication like a blocked tube or bleeding. Notifying the provider allows for prompt assessment and intervention to prevent further complications.

Increasing the suction setting (choice A) without knowing the reason for slowed drainage can potentially worsen the situation. Re-positioning the chest tube (choice C) may not address the underlying issue causing the slowed drainage. Taking the tubing apart to assess for clots (choice D) should not be done by the nurse as it can introduce the risk of infection and requires sterile technique.

What factor would be most important to include in Wendy’s discharge teaching plan?

  • A. Effective breathing and coughing techniques
  • B. Scheduling of return follow-up visits
  • C. Program of recommended and contraindicated activities
  • D. Individualized measures to prevent future attacks
Correct Answer: D

Rationale: Preventive measures reduce the likelihood of recurrent attacks.

A client is on intravenous heparin to treat a pulmonary embolism. The client's most recent partial thromboplastin time (PTT) was 25 seconds. What action should the nurse anticipate?

  • A. Decrease the heparin rate.
  • B. Increase the heparin rate.
  • C. No change to the heparin rate.
  • D. Stop the heparin; start warfarin (Coumadin).
Correct Answer: B

Rationale: The correct answer is B: Increase the heparin rate. A PTT of 25 seconds indicates that the client's blood is not adequately anticoagulated, as the therapeutic range for PTT is typically around 60-80 seconds for heparin therapy. Therefore, the nurse should anticipate increasing the heparin rate to achieve the desired anticoagulant effect and prevent further clot formation.

Incorrect choices:
A: Decreasing the heparin rate would further decrease the anticoagulant effect, potentially putting the client at risk for thrombus progression.
C: No change to the heparin rate would not address the subtherapeutic PTT level and could lead to inadequate anticoagulation.
D: Stopping heparin and starting warfarin is not appropriate at this time as warfarin takes time to reach therapeutic levels, whereas heparin provides immediate anticoagulation for acute situations like a pulmonary embolism.

The most common, preventable complication of abdominal surgery is

  • A. atelectasis.
  • B. fluid and electrolyte imbalance.
  • C. thrombophlebitis.
  • D. urinary retention.
Correct Answer: D

Rationale: Urinary retention is a common issue post-abdominal surgery due to anesthesia effects and immobility.

Copyright © 2025 Nokea. All rights reserved.