Medical Surgical ATI Proctored Exam

Medical Surgical ATI Proctored Exam Related

Review Medical Surgical ATI Proctored Exam related questions and content

What should the nurse prioritize when monitoring an older adult client immediately following a bronchoscopy?

  • A. Observing for confusion
  • B. Auscultating breath sounds
  • C. Confirming the gag reflex
  • D. Measuring blood pressure
Correct Answer: C

Rationale: The correct answer is C: Confirming the gag reflex. Immediately following a bronchoscopy, the nurse must prioritize confirming the gag reflex to ensure the client can protect their airway. This is crucial to prevent aspiration and respiratory complications. Observing for confusion (choice A) is important but not the priority in this situation. Auscultating breath sounds (choice B) is also important but confirming the gag reflex takes precedence. Measuring blood pressure (choice D) is not directly related to the immediate post-bronchoscopy monitoring.

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Most of the danger associated with pneumoconioses is due to

  • A. Unnecessary anxiety created by environmentalists
  • B. The dark, wet mining environment
  • C. Inhalation and retention of dust particles
  • D. The fact that most miners also smoke cigarettes
Correct Answer: C

Rationale: Inhaling dust particles damages lung tissue, leading to fibrosis.

Which action should you delegate to the nursing assistant for the client with diabetic ketoacidosis? (Choose all that apply.)

  • A. Check fingerstick glucose every hour
  • B. Record intake and output every hour
  • C. Check vital signs every 15 minutes
  • D. Assess for indicators of fluid imbalance
Correct Answer: A

Rationale: Checking fingerstick glucose and recording intake/output are routine tasks that can be delegated to a nursing assistant. Assessing fluid imbalance and checking vital signs frequently require more skilled nursing judgment.

The nurse has been assigned to these clients in the emergency room. Which client would the nurse go check first?

  • A. Viral pneumonia with atelectasis.
  • B. Spontaneous pneumothorax with a respiratory rate of 38.
  • C. Tension pneumothorax with slight tracheal deviation to the right.
  • D. Acute asthma with episodes of bronchospasm.
Correct Answer: C

Rationale: Tension pneumothorax is a life-threatening condition requiring immediate attention.

Which is a maladaptive coping mechanism for a client with stress?

  • A. Anger
  • B. Hardiness
  • C. Alcohol
  • D. Self mutilation
Correct Answer: C

Rationale: Substance abuse, such as alcohol, is a common maladaptive coping mechanism that can exacerbate stress and lead to further health issues.

Which statement best describes emmetropia?

  • A. Difficulty with near vision
  • B. Difficulty with far vision
  • C. Visual distortion caused by an irregularly shaped cornea
  • D. Normal vision
Correct Answer: D

Rationale: Emmetropia refers to normal vision where light focuses correctly on the retina without refractive error.

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