Medical Surgical ATI Proctored Exam

Medical Surgical ATI Proctored Exam Related

Review Medical Surgical ATI Proctored Exam related questions and content

When preparing a client for transfer to the ICU for placement of a pulmonary artery catheter, the nurse should explain that this catheter is used to monitor which of the following conditions?

  • A. Intracranial pressure
  • B. Spinal cord perfusion
  • C. Renal function
  • D. Hemodynamic status
Correct Answer: D

Rationale: The correct answer is D: Hemodynamic status. A pulmonary artery catheter is used to monitor hemodynamic parameters such as cardiac output, pulmonary artery pressure, and central venous pressure. This helps assess the patient's circulatory status and guide interventions in critically ill patients.

Explanation:
1. Pulmonary artery catheter measures cardiac output and helps in assessing the heart's ability to pump blood effectively.
2. It provides information on pulmonary artery pressure which reflects the pressure in the right side of the heart and pulmonary circulation.
3. Central venous pressure is also monitored, indicating the fluid status and right heart function.

Summary:
A: Intracranial pressure - Incorrect. Pulmonary artery catheter does not monitor intracranial pressure.
B: Spinal cord perfusion - Incorrect. Pulmonary artery catheter does not monitor spinal cord perfusion.
C: Renal function - Incorrect. Pulmonary artery catheter does not monitor renal function.

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The nurse explains to the patient that the primary purpose of such a record is to

  • A. Reduce the cost of health care by eliminating paper records
  • B. Prevent medical errors associated with traditional paper records and handwritten orders and prescriptions
  • C. Force the use of standardized medical vocabularies and nursing terminologies so that outcomes of patient care can be measured
  • D. Provide a single record in which all aspects of a patient’s medical information are readily available to any health care provider involved in the patient’s care
Correct Answer: D

Rationale: Electronic health records centralize patient data, ensuring all providers have access to complete and up-to-date information.

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.

For each of the nursing diagnoses listed, identify at least two normal expected physiologic changes related to aging that could be etiologic factors of the diagnosis.

  • A. Imbalanced nutrition: less than body requirements
  • B. Activity intolerance
  • C. Risk for injury
  • D. Urge urinary incontinence
Correct Answer: A

Rationale: Aging-related changes include decreased appetite, reduced muscle mass, impaired balance, and increased bladder sensitivity—all contributing to various nursing diagnoses.

During assessment, a healthcare provider is evaluating a client with chronic bronchitis. Which of the following percussion sounds should the healthcare provider expect?

  • A. Dullness
  • B. Resonance
  • C. Tympany
  • D. Flatness
Correct Answer: B

Rationale: The correct answer is B: Resonance. When assessing a client with chronic bronchitis, the healthcare provider should expect to hear resonant percussion sounds. This is because chronic bronchitis is characterized by inflammation and excess mucus production in the bronchial tubes, leading to airway obstruction. Resonance indicates normal lung tissue and air-filled spaces. Dullness (A) may suggest consolidation or fluid in the lungs, which is not typically associated with chronic bronchitis. Tympany (C) is a drum-like sound that can be heard over air-filled structures like the stomach, not typically expected in a lung assessment. Flatness (D) is heard over solid structures like the liver and would not be expected in a lung assessment for chronic bronchitis.

8. What is acupuncture used for (select all that apply)?

  • A. Relieve pain by causing counterirritation in another area of the body.
  • B. Reestablish the flow of Qi through meridians to simulate the body’s self-healing mechanism.
  • C. Create an inflammatory response at an acupoint, increasing blood circulation and healing energy.
  • D. Relieve nausea and vomiting postoperatively, with pregnancy, or related to chemotherapy.
Correct Answer: B

Rationale: Acupuncture is commonly used to reestablish the flow of Qi (option B) and relieve nausea and vomiting (option D), among other therapeutic uses.

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