Medical Surgical ATI Proctored Exam

Medical Surgical ATI Proctored Exam Related

Review Medical Surgical ATI Proctored Exam related questions and content

A healthcare provider is assessing a client immediately after the removal of the endotracheal tube. Which of the following findings should the provider report to the healthcare provider?

  • A. Stridor
  • B. Copious oral secretions
  • C. Hoarseness
  • D. Sore throat
Correct Answer: A

Rationale: The correct answer is A: Stridor. Stridor is a high-pitched, harsh respiratory sound that indicates airway obstruction, which can be life-threatening post endotracheal tube removal. Copious oral secretions (B), hoarseness (C), and sore throat (D) are common after endotracheal tube removal but do not indicate immediate airway compromise. Reporting stridor is crucial for prompt intervention to prevent respiratory distress.

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Denise is recovering from an open cholecystectomy. You know that because of the location of the surgery, she has an increased chance of postoperative

  • A. Myocardial infarction.
  • B. Respiratory complications.
Correct Answer: B

Rationale: Abdominal surgeries can increase the risk of respiratory complications due to reduced lung expansion.

Which stage of wound healing lasts from 21 days to several months and even 1 to 2 years, allowing the strength of the wound to increase through synthesis of collagen by fibroblasts and lysis by collagenase enzymes?

  • A. Inflammatory stage
  • B. Proliferative phase
  • C. Maturation phase
  • D. Approximation phase
Correct Answer: C

Rationale: The correct answer is C because the maturation phase involves collagen remodeling and strengthening.

What are the criteria for diagnosing systemic inflammatory response syndrome (SIRS)?

  • A. Dehydration
  • B. Overhydration
  • C. Electrolyte imbalance
  • D. Hypertension
Correct Answer: A

Rationale: Dehydration results from fluid loss exceeding intake, causing symptoms like dry mucous membranes, poor skin turgor, and hypotension.

Mrs. Smith asks about treatment options for sensorineural deafness. To counsel Mrs. Smith appropriately, the nurse knows that the only type of organically caused deafness that can be effectively treated at this time is

  • A. conductive deafness
  • B. sensorineural deafness
  • C. central deafness
  • D. mixed-type deafness
Correct Answer: A

Rationale: Conductive deafness often responds well to surgical or medical interventions, unlike other types of hearing loss where treatment options are limited.

In what patient situations would a comprehensive assessment be performed (select all that apply)?

  • A. Complaints of chest pain
  • B. On initial admission to the telemetry unit
  • C. On initial evaluation by the home health nurse
  • D. The patient is found lying on the floor and is unresponsive
Correct Answer: B

Rationale: The correct answers are 'On initial admission to the telemetry unit,' 'On initial evaluation by the home health nurse,' and 'On arrival in the surgery holding area of the operating room.' Comprehensive assessments are necessary for baseline data collection in new or complex cases.

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