Medical Surgical ATI Proctored Exam

Medical Surgical ATI Proctored Exam Related

Review Medical Surgical ATI Proctored Exam related questions and content

Jill Means, 36, has had a vaginal radium implant placed as one of the treatments for her cervical cancer. She calls to tell you that during a coughing spell it has 'been pushed out'. You should:

  • A. place signs on the door stating radioactivity danger.
  • B. have Jill reinsert the applicator like a tampon.
  • C. call the physician and apprise him of the situation.
  • D. use forceps to place the applicator in the receptacle.
Correct Answer: D

Rationale: Signs should be placed on the door after the implant has been done, and not just when the implant is dislodged. By picking the applicator up, Jill would experience burns on her fingers/hands that would be avoidable, so need to teach her not to do so. The applicator has been contaminated, it would not be replaced in any case. Calling the physician and apprising him would certainly be necessary, but would be done after the applicator has been taken care of. Lead containers should be available to place the applicator in, and forceps would be used to do so to protect from radiation burns.

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Complications of self-induced vomiting in binge eating disorder include which of the following?

  • A. Fluid and electrolyte disorders
  • B. Damage to teeth
  • C. Constipation
  • D. Cardiac problems
Correct Answer: B

Rationale: Frequent vomiting exposes teeth to stomach acid, causing enamel erosion and dental damage.

To determine if chilling is the result of an emerging complication or of infusing cold blood, what action is essential?

  • A. Monitoring the client’s temperature before,during and after the transfusion.
  • B. Documenting the client’s temperature after the transfusion.
  • C. Documenting the temperature of the blood before the transfusion.
  • D. Comparing the client’s temperature with the temperature of the blood.
Correct Answer: A

Rationale: The correct answer is A because monitoring the client’s temperature throughout the transfusion helps identify complications.

Before administering oxygen to a patient, what should the nurse initially do?

  • A. Observe the patient’s respiratory pattern
  • B. Monitor the arterial blood gas results
  • C. Determine if the patient has a history of COPD
  • D. Ask the patient if he prefers nasal or mask O₂
Correct Answer: A

Rationale: Assessing respiratory effort helps tailor oxygen therapy appropriately.

Who should ideally do discharge planning?

  • A. Practical nurse
  • B. Professional nurse and the patient
  • C. Patient and his family
  • D. Public health nurse
Correct Answer: B

Rationale: Collaboration between the professional nurse and the patient ensures personalized and effective discharge planning.

Mr. Jones has a scleral buckling procedure for repair of his retinal detachment. He states that he can see quite well now and wants to know if his vision will continue to improve. Which reply by the nurse would be most appropriate?

  • A. It will be important to monitor your progress over the next 2 months.'
  • B. Your eye should be fine provided that you do everything your doctor has told you.'
  • C. There is no way of predicting whether or not this will recur.'
  • D. You seem worried that this condition may recur.'
Correct Answer: A

Rationale: Monitoring progress over time is essential after retinal surgery, as visual improvement varies and requires ongoing assessment to ensure optimal outcomes.

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