Adult Medical Surgical ATI

Adult Medical Surgical ATI Related

Review Adult Medical Surgical ATI related questions and content

Until Mr. Jones’ diagnosis is confirmed, what should be a priority?

  • A. Encouraging rest
  • B. Monitoring intake and output
  • C. Preventing spread of infection to others
  • D. Providing attractive meals
Correct Answer: C

Rationale: The correct answer is C: Preventing spread of infection to others. This is the priority because until Mr. Jones' diagnosis is confirmed, it is crucial to prevent potential transmission of any infectious diseases to others. Encouraging rest (choice A) and providing attractive meals (choice D) are important for overall well-being but not as critical as preventing the spread of infection. Monitoring intake and output (choice B) is important for assessing Mr. Jones' health status but does not directly address the potential risk of infecting others. Therefore, choice C is the most immediate priority to ensure the safety of others.

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What causes an audible wheeze in Mr. Ross’ right lung?

  • A. Inflammation of pleural surfaces
  • B. Obstruction of the bronchus
  • C. Collection of exudate in the pleural cavity
  • D. Dilatation of the alveoli
Correct Answer: B

Rationale: Bronchial obstruction leads to turbulent airflow, producing wheezing.

To prepare a patient on the unit for a bronchoscopic procedure, the medical-surgical nurse administers an IV sedative. The nurse then instructs the licensed practical nurse to

  • A. educate the patient about the procedure.
  • B. give the patient small sips of water only.
  • C. measure the patient's blood pressure and heart rate.
  • D. take the patient to the bathroom one more time.
Correct Answer: D

Rationale: Emptying the bladder before the procedure is important for comfort and safety.

What is the first symptom to occur in hypovolemia?

  • A. Hypotension
  • B. Thirst
  • C. Central venous pressure below 2 to 3 mmHg
  • D. Urine specific gravity high
Correct Answer: B

Rationale: Thirst is the earliest indicator of hypovolemia, as the body signals the need for fluid replacement before more severe signs like hypotension develop.

The nurse identifies the presence of age-associated memory impairment in the older adult who states

  • A. I just can't seem to remember the name of my granddaughter.
  • B. I make out lists to help me remember what I need to do but I can't seem to use them.
  • C. I forgot that I went to the grocery store this morning and didn't realize it until I went again this afternoon.
  • D. I forget movie stars' names more often now but I can remember them later after the conversation is off.
Correct Answer: C

Rationale: Age-associated memory impairment typically involves short-term memory lapses rather than complete forgetting. Forgetting actions like visiting the grocery store earlier in the day aligns with this type of impairment.

Which of the four phases of pain transmission is characterized by the peripheral nerve fibers forming synapses with neurons in the spinal cord and the pain impulses moving away from the spinal cord to the reticular activating system, the limbic system, the thalamus, and finally the cerebral cortex?

  • A. Modulation
  • B. Transduction
  • C. Transmission
  • D. Perception
Correct Answer: C

Rationale: The correct answer is C because during the transmission phase, pain signals are relayed from the spinal cord to various parts of the brain for processing.

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