Adult Medical Surgical ATI

Adult Medical Surgical ATI Related

Review Adult Medical Surgical ATI related questions and content

Which chief complaint is NOT desirable for recording on the client’s chart?

  • A. CC: “cough and temperature elevation,” 2 days duration
  • B. CC: “passing black stools,” 1 day duration
  • C. CC: “substernal pain,” 2 hours duration
  • D. Reason for contact: “physical examination for college”
Correct Answer: D

Rationale: Correct Answer: D

Rationale:
1. Chief complaints should be symptoms or concerns related to the client's health issues.
2. "Physical examination for college" is not a specific symptom or health concern.
3. Chief complaints guide healthcare providers in assessing and treating the client.
4. Recording irrelevant chief complaints can lead to confusion in diagnosis and treatment.

Summary of Incorrect Choices:
A: Describes specific symptoms, suitable for recording.
B: Describes a specific symptom (black stools), suitable for recording.
C: Describes a specific symptom (substernal pain), suitable for recording.

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Which type of therapy helps clients alter irrational thinking and replace negative self-statements with positive ones?

  • A. Desensitization therapy
  • B. Behavioral therapy
  • C. Cognitive therapy
  • D. Psychobiologic therapy
Correct Answer: C

Rationale: Cognitive therapy focuses on identifying and challenging irrational beliefs, helping clients develop healthier thought patterns.

Which technique facilitates interactions between the nurse and client?

  • A. Ask questions that can be answered with yes or no.
  • B. Sit within the client’s comfort zone.
  • C. Avoid making eye contact.
  • D. Address clients by their first names.
Correct Answer: B

Rationale: Respecting personal space enhances trust and comfort during interactions.

What should a nurse include in the teaching plan for clients who have a potential for hypovolemia?

  • A. Avoid alcohol and caffeine
  • B. Increase intake of dried peas and beans
  • C. Increase intake of milk and dairy products
  • D. Avoid table salt or food containing sodium
Correct Answer: A

Rationale: Alcohol and caffeine are diuretics, increasing fluid loss and worsening hypovolemi Avoiding them helps maintain fluid balance.

Steve, who is diagnosed with pneumonia following recent intrathoracic surgery, will likely be prescribed

  • A. Cephalosporin, such as cefazolin.
  • B. Penicillin, such as amoxicillin.
  • C. Fluoroquinolone, such as levofloxacin.
  • D. Tetracycline, such as doxycycline.
Correct Answer: A

Rationale: Cephalosporins are commonly used antibiotics for treating post-surgical pneumonia.

Instructions for a patient at risk for testicular cancer include

  • A. Restrict potassium, phosphate, sodium, protein in diet.
  • B. Self-catheterization of ileal reservoir.
  • C. Testicular self-exam.
  • D. Change in color of urine is to be expected.
Correct Answer: C

Rationale: Regular self-exams help detect testicular cancer early.

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