ATI Medical Surgical Proctored Exam

ATI Medical Surgical Proctored Exam Related

Review ATI Medical Surgical Proctored Exam related questions and content

Prior to a cardiac catheterization, what is the most important action for the nurse to take?

  • A. Ensure that the client has been NPO for 6 hours before the procedure.
  • B. Administer pre-procedure medications as ordered.
  • C. Verify that informed consent has been obtained.
  • D. Assess the client for any allergies, especially to iodine or shellfish.
Correct Answer: D

Rationale: The correct answer is D: Assess the client for any allergies, especially to iodine or shellfish. This is crucial because contrast dye containing iodine is commonly used during cardiac catheterization, and a client with allergies to iodine or shellfish can have a severe allergic reaction. It is essential to identify allergies beforehand to prevent any potential adverse reactions during the procedure.

A: Ensuring NPO status is important for some procedures, but assessing for allergies is more critical to prevent life-threatening reactions.
B: Administering pre-procedure medications is important, but assessing for allergies takes precedence to avoid allergic reactions.
C: While obtaining informed consent is necessary, assessing for allergies is a crucial safety measure to prevent allergic reactions during the procedure.

You may also like to solve these questions

A nurse is assessing a client with a history of seizures. Which assessment finding requires immediate intervention?

  • A. The client is experiencing an aura.
  • B. The client's antiseizure medication level is within the therapeutic range.
  • C. The client has been seizure-free for 2 years.
  • D. The client's seizure activity lasts longer than 5 minutes.
Correct Answer: D

Rationale: The correct answer is D because prolonged seizures lasting longer than 5 minutes can lead to status epilepticus, a medical emergency that can cause brain damage or even death. Immediate intervention is necessary to stop the seizure activity. Auras (A) are warning signs of an impending seizure and do not require immediate intervention. Antiseizure medication within therapeutic range (B) indicates proper management. Being seizure-free for 2 years (C) is a positive outcome but does not require immediate intervention unless a seizure occurs.

What is the priority nursing diagnosis?

  • A. Risk for Injury related to seizures
  • B. Risk for Other-Directed Violence related to hallucinations
  • C. Risk for Situational Low Self-esteem related to police custody
  • D. Risk for Nutritional Deficit related to chronic alcohol abuse
Correct Answer: A

Rationale: Seizures pose an immediate risk to the patient's safety.

A nurse working on a cardiac unit delegated taking vital signs to an experienced unlicensed assistive personnel (UAP). Four hours later, the nurse notes the client's blood pressure is much higher than previous readings & the client's mental status has changed. What action by the nurse would most likely have prevented this negative outcome?

  • A. Determining if the UAP knew how to take blood pressure
  • B. Double-checking the UAP by taking another blood pressure
  • C. Providing more appropriate supervision of the UAP
  • D. Taking the blood pressure instead of delegating the task
Correct Answer: C

Rationale: The correct answer is C: Providing more appropriate supervision of the UAP. By providing adequate supervision, the nurse can ensure that the UAP is performing tasks correctly and can intervene if any issues arise. This would have likely prevented the negative outcome as the nurse could have identified the high blood pressure and changed mental status earlier.

A: Determining if the UAP knew how to take blood pressure - While assessing the UAP's competence is important, it does not address the need for ongoing supervision and oversight.

B: Double-checking the UAP by taking another blood pressure - This approach does not address the root cause of the issue, which is the lack of appropriate supervision.

D: Taking the blood pressure instead of delegating the task - This is not a sustainable solution as delegating tasks to UAPs is a common practice in healthcare settings. Providing appropriate supervision is key to ensuring safe and effective delegation.

What is an important nursing measure in the rehabilitation of an older adult to prevent loss of function from inactivity and immobility?

  • A. Using assistive devices such as walkers and canes
  • B. Teaching good nutrition to prevent loss of muscle mass
  • C. Performance of active and passive range-of-motion (ROM) exercises
  • D. Performance of risk appraisals and assessments related to immobility
Correct Answer: C

Rationale: Active and passive ROM exercises preserve mobility and prevent complications arising from prolonged immobility.

Bob reports chest pains when performing strenuous work. The pain goes away when he sits. What is he likely to be experiencing?

  • A. Indigestion.
  • B. Stable angina.
  • C. Unstable angina.
  • D. Prinzmetal's angina.
Correct Answer: B

Rationale: Stable angina occurs during physical exertion and resolves with rest.

Copyright © 2025 Nokea. All rights reserved.