ATI Medical Surgical Proctored Exam

ATI Medical Surgical Proctored Exam Related

Review ATI Medical Surgical Proctored Exam related questions and content

A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest levels of competency. Which areas should the manager assess to determine if the nursing staff demonstrate competency according to the Institute of Medicine (IOM) report Health Professions Education: A Bridge to Quality? (Select ONE that does not apply)

  • A. Collaborating with an interdisciplinary team
  • B. Implementing evidence-based care
  • C. Providing family-focused care
  • D. Experimenting on patients
Correct Answer: D

Rationale: The correct answer is D: Experimenting on patients. The IOM report emphasizes the importance of evidence-based practice, collaboration, and patient-centered care to ensure nurses are practicing at their highest levels of competency. Experimenting on patients is unethical and not a part of competent nursing practice. Nurses should rely on established evidence and best practices rather than experimenting on patients. Assessing nurses' competency in collaborating with teams, implementing evidence-based care, and providing family-focused care aligns with the IOM's recommendations for quality nursing practice.

You may also like to solve these questions

Why would a client’s recovery from shock be tenuous?

  • A. Increased urine output
  • B. Edema
  • C. Hypertension
  • D. Hypernatremia
Correct Answer: B

Rationale: Edema occurs due to excess fluid accumulation in the interstitial spaces, commonly seen in conditions like heart failure and kidney disease.

A nursing student learns about modifiable risk factors for coronary artery disease. Which factors does this include? (SATA)

  • A. Age
  • B. Hypertension
  • C. Obesity
  • D. Smoking
Correct Answer: B

Rationale: Step-by-step rationale:
1. Hypertension is a modifiable risk factor as it can be controlled through lifestyle changes and medication.
2. Age is a non-modifiable risk factor, as it naturally increases the risk of coronary artery disease.
3. Obesity is a modifiable risk factor, as weight management through diet and exercise can reduce the risk.
4. Smoking is a modifiable risk factor, as quitting smoking can significantly reduce the risk.
Summary:
B is correct as it is a modifiable risk factor that can be actively managed. A, C, and D are incorrect as age is non-modifiable and obesity and smoking are modifiable but were not selected as correct options.

The purpose of a peripheral iridectomy procedure is to

  • A. permit drainage of aqueous humor from the anterior chamber
  • B. promote the formation of permanent anterior synechiae with the cornea
  • C. promote the formation of permanent posterior synechiae with the lens
  • D. gain access to the lens for easy removal
Correct Answer: A

Rationale: A peripheral iridectomy creates an opening to allow aqueous humor to drain properly, relieving intraocular pressure associated with narrow-angle glaucoma.

A client presents to the emergency department with an acute myocardial infarction (MI) at 1500 (3:00 PM). The facility has 24-hour catheterization laboratory capabilities. To meet The Joint Commission's Core Measures set, by what time should the client have a percutaneous coronary intervention performed?

  • A. 1530 (3:30 PM)
  • B. 1600 (4:00 PM)
  • C. 1630 (4:30 PM)
  • D. 1700 (5:00 PM)
Correct Answer: C

Rationale: The correct answer is C: 1630 (4:30 PM). The rationale is as follows:
1. The standard guideline for performing percutaneous coronary intervention (PCI) in acute MI is within 90 minutes of arrival at the hospital.
2. The client arrived at 1500 (3:00 PM), so adding 90 minutes to this time gives us 1630 (4:30 PM).
3. This timing aligns with The Joint Commission's Core Measures for timely PCI in acute MI cases.
4. Therefore, the correct time for the client to have PCI performed is 1630 (4:30 PM).
In summary, choices A, B, and D are incorrect because they do not align with the 90-minute guideline for performing PCI in acute MI cases, as mandated by The Joint Commission's Core Measures.

The nurse is teaching a client with dysrhythmia about the electrical pathway of an impulse as it travels through the heart. Which of these demonstrates the normal pathway?

  • A. AV node, SA node, Bundle of His, Purkinje fibers.
  • B. Purkinje fibers, SA node, AV node, Bundle of His.
  • C. Bundle of His, Purkinje fibers, SA node , AV node.
  • D. SA node, AV node, Bundle of His, Purkinje fibers.
Correct Answer: D

Rationale: The normal conduction pathway starts at the SA node.

Copyright © 2025 Nokea. All rights reserved.