Medical Surgical ATI Proctored Exam

Medical Surgical ATI Proctored Exam Related

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During an assessment in the emergency department, an older adult client with community-acquired pneumonia is found to be confused. Which of the following findings should the nurse expect?

  • A. Unequal pupils
  • B. Hypertension
  • C. Tympany upon chest percussion
  • D. Confusion
Correct Answer: D

Rationale: The correct answer is D: Confusion. Confusion in an older adult with community-acquired pneumonia can indicate hypoxia or sepsis affecting the brain. It is a common manifestation in elderly patients with pneumonia due to impaired gas exchange and systemic inflammatory response. Unequal pupils do not typically relate to pneumonia. Hypertension is not a common finding in pneumonia; hypotension is more likely. Tympany upon chest percussion is associated with conditions like pneumothorax, not pneumonia. Therefore, confusion is the most relevant finding in this scenario.

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At the end of the surgical procedure, the perioperative nurse evaluates the patient's response to the nursing care delivered during the perioperative period. What reflects a positive outcome related to the patient's physical status?

  • A. The patient's right to privacy is maintained.
  • B. The patient's care is consistent with the perioperative plan of care.
  • C. The patient receives consistent and comparable care regardless of the setting.
  • D. The patient's respiratory function is consistent with or improved from baseline levels established preoperatively.
Correct Answer: D

Rationale: Improved or consistent respiratory function indicates effective perioperative care.

The physician tells the patient that there will be an initial course of treatment with continued maintenance treatments and ongoing observation for signs and symptoms over a prolonged period of time. You can help the patient by reinforcing that the primary goal for this type of treatment is:

  • A. Cure.
  • B. Control.
  • C. Palliation.
  • D. Permanent remission.
Correct Answer: B

Rationale: The described treatment plan focuses on controlling the disease progression rather than achieving a cure or palliation, given the long-term nature of the intervention.

What should the conversation focus on regarding Mr. Puff’s concern about sexual intercourse?

  • A. Improving his self-esteem
  • B. The role that his wife plays as a supportive partner
  • C. Avoiding further pulmonary damage
  • D. Alternative positions for intercourse
Correct Answer: D

Rationale: Modifying positions reduces exertion and breathlessness.

Which of these tasks are appropriate to delegate to the LPN/LVN who is functioning under the supervision of an RN? (Choose all that apply.)

  • A. Assess the sexual implications for a client with oculogenital type Chlamydia trachomatis.
  • B. Administer sulfacetamide sodium 10% (Sulf-10 Ophthalmic) to a child with conjunctivitis.
  • C. Review handwashing and hygiene practices with clients who have eye infections.
  • D. Show clients how to gently cleanse eyelid margins to remove crusting.
Correct Answer: B

Rationale: Administering medications is within the scope of practice for LPNs/LVNs under RN supervision.

What is the most common cause of vitreous hemorrhage?

  • A. Diabetic retinopathy
  • B. Retinal tear
  • C. Trauma
  • D. All of the above
Correct Answer: D

Rationale: Vitreous hemorrhage can result from various causes, with diabetic retinopathy being a significant contributor.

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