ATI RN
ATI Medical Surgical Proctored Exam
1. A newly graduated nurse in the hospital states that, since she is so new, she cannot participate in quality improvement (QI) projects. What response by the precepting nurse is best?
- A. All staff nurses are required to participate in quality improvement projects.
- B. Even as a new nurse, you can implement activities designed to improve care.
- C. It's easy to identify which indicators should be used to measure quality improvement.
- D. You should ask to be assigned to the research and quality committee.
Correct answer: B
Rationale: The best response is to encourage the newly graduated nurse to actively participate in quality improvement initiatives. Being new does not preclude one from contributing to improving care processes and outcomes. By engaging in small activities focused on quality improvement, the new nurse can start making a positive impact and learn valuable skills early in their career.
2. Peripheral vasodilation results in heat loss through which of the following processes?
- A. conduction
- B. convection
- C. radiation
- D. evaporation
Correct answer: C
Rationale: Peripheral vasodilation is the widening of blood vessels near the surface of the skin, allowing more blood to flow near the skin's surface. This process enhances heat loss primarily through radiation. Radiation is the transfer of heat energy in the form of electromagnetic waves. Conduction involves direct contact between objects, convection involves the transfer of heat through fluid or gas, and evaporation involves the phase change of a liquid to a gas, which cools the surface.
3. A nurse is assessing a client who is postoperative following a gastric bypass. Which of the following findings should the nurse report to the provider?
- A. Heart rate of 78/min
- B. Oxygen saturation of 95%
- C. Urine output of 30 mL/hr
- D. Serosanguineous wound drainage
Correct answer: C
Rationale: In a postoperative client, a urine output of 30 mL/hr is a concerning finding as it indicates oliguria, which may suggest dehydration or kidney impairment. Adequate urine output is essential for monitoring renal function and overall fluid status. A heart rate of 78/min is within the normal range for an adult. An oxygen saturation of 95% is acceptable and indicates adequate oxygenation. Serosanguineous wound drainage is expected in the early postoperative period and is not a cause for immediate concern unless it becomes excessive or changes character.
4. Distinguish between necessary, sufficient, and contributory causes of abnormal behavior.
- A. Necessary causes are required for a disorder to develop but do not guarantee it.
- B. Sufficient causes guarantee a disorder will develop, but they are not required.
- C. Contributory causes increase the likelihood of a disorder but are neither necessary nor sufficient.
- D. Contributory causes are conditions that guarantee the occurrence of a disorder.
Correct answer: A
Rationale: In understanding abnormal behavior, it is crucial to differentiate between necessary, sufficient, and contributory causes. Necessary causes are those that are required for a disorder to develop, meaning that without them, the disorder would not occur. However, their presence does not guarantee the occurrence of the disorder. Sufficient causes, on the other hand, are those that alone can guarantee the development of a disorder, but they are not the only factors that can lead to it. Contributory causes are factors that increase the likelihood of a disorder but are not essential on their own nor do they guarantee the disorder. Therefore, choice A is the correct answer as it accurately describes the role of necessary causes in the development of abnormal behavior. Choices B, C, and D are incorrect as they misrepresent the definitions and roles of sufficient and contributory causes in causing abnormal behavior.
5. A healthcare provider has just administered a wrong medication to a client. Which of the following actions should the provider take next?
- A. No action is needed
- B. Report error to the provider
- C. Complete an institutional incident report
- D. Inform the client that the wrong medication was given
Correct answer: B
Rationale: In the scenario where a wrong medication has been administered, it is crucial for the healthcare provider to report the error to the provider. This action is essential to ensure that the provider is informed promptly, corrective measures are taken, and the client's well-being is safeguarded. Choice A is incorrect as taking no action could lead to serious consequences and compromise patient safety. Choice C, while important, should come after reporting the error to the provider. Choice D is not the immediate priority as the provider should first focus on addressing the error internally.
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