ATI RN
Medical Surgical ATI Proctored Exam
1. A healthcare provider is assessing a client immediately after the removal of the endotracheal tube. Which of the following findings should the provider report to the healthcare provider?
- A. Stridor
- B. Copious oral secretions
- C. Hoarseness
- D. Sore throat
Correct answer: Stridor
Rationale: Stridor is a high-pitched, harsh respiratory sound that can indicate airway obstruction. It is a serious finding that requires immediate attention as it may lead to respiratory compromise. Copious oral secretions, hoarseness, and sore throat are common but expected findings after endotracheal tube removal and do not typically require urgent intervention.
2. What is the mission of the Army Medical Department?
- A. Ensure that each soldier receives a physical examination annually
- B. Deliver healthcare to regions of the U.S. designated as disaster areas by the President
- C. Maintain the health of the Army and preserve its combat effectiveness
- D. Offer medical, dental, and veterinary education and training
Correct answer: C
Rationale: The correct answer is C: 'Maintain the health of the Army and preserve its combat effectiveness.' This mission statement reflects the primary goal of the Army Medical Department, which is to ensure that military personnel remain healthy and fit for duty to preserve the Army's fighting strength. Choices A, B, and D are incorrect because they do not capture the core purpose of the Army Medical Department, which is focused on the health and readiness of the military forces, rather than performing annual physical examinations, responding to disasters, or providing education and training.
3. What is strongly associated with healthy eating in teenagers?
- A. Vitamin supplementation
- B. Number of hours of sleep
- C. Dieting in adolescence
- D. Frequency of family meals
Correct answer: D
Rationale: The frequency of family meals is strongly associated with healthy eating in teenagers. Research indicates that regular family meals provide structure, promote positive eating behaviors, and offer opportunities for modeling healthy food choices. Vitamin supplementation (Choice A) may be beneficial but is not as strongly linked to healthy eating habits as family meal frequency. The number of hours of sleep (Choice B) is important for overall health but is not as directly associated with healthy eating behaviors in teenagers. Dieting in adolescence (Choice C) can sometimes lead to unhealthy eating patterns and is not necessarily linked to consistently healthy food choices.
4. Retention of electrolytes (especially sodium) in the interstitial fluid can result from:
- A. decreased aldosterone secretion.
- B. increased ADH secretion.
- C. increased aldosterone secretion.
- D. decreased ADH secretion.
Correct answer: C
Rationale: The correct answer is C: increased aldosterone secretion. Aldosterone, a hormone produced by the adrenal glands, increases sodium reabsorption in the kidneys, leading to retention of sodium and water in the interstitial fluid. Increased aldosterone secretion enhances the reabsorption of sodium, thereby increasing its retention. Choice A is incorrect because decreased aldosterone secretion would lead to less sodium reabsorption and increased excretion. Choice B is incorrect because increased ADH secretion primarily affects water reabsorption rather than sodium. Choice D is incorrect because decreased ADH secretion would lead to increased water excretion but not necessarily affect sodium retention.
5. The client is prescribed warfarin. What should the client be taught about this medication?
- A. Avoid foods high in vitamin K.
- B. Take the medication with food to prevent stomach upset.
- C. Take the medication at the same time every day.
- D. Increase the dose if a dose is missed.
Correct answer: A
Rationale: The correct answer is A: Avoid foods high in vitamin K. Warfarin is an anticoagulant medication, and vitamin K can counteract its effects. Therefore, it is important for clients taking warfarin to avoid foods high in vitamin K to maintain the medication's effectiveness. Choice B is incorrect because warfarin should be taken consistently as prescribed, regardless of food intake. Choice C is incorrect because while consistency in timing is important, it is not specific to the effectiveness of warfarin. Choice D is incorrect because clients should never increase the dose of warfarin on their own, especially to make up for a missed dose, as it can lead to serious bleeding risks.
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