ATI RN
ATI Medical Surgical Proctored Exam 2023
1. A client is prescribed prednisone for asthma management. Which statement by the client indicates a need for further teaching?
- A. I will take this medication every day to prevent asthma attacks.
- B. I will avoid people with infections while taking this medication.
- C. I will take this medication with food to prevent stomach upset.
- D. I will stop taking this medication if I feel fine.
Correct answer: D
Rationale: The correct answer is D because prednisone, a corticosteroid, should not be abruptly stopped. It must be tapered off gradually to prevent adrenal insufficiency. Choices A, B, and C demonstrate proper understanding of the medication's use and side effects, emphasizing the importance of daily intake, infection prevention, and taking it with food to avoid stomach upset.
2. Which of the following statements does NOT apply to a nursing plan of care?
- A. It contains short-term goals
- B. It is developed by the patient's physician
- C. It must be continually evaluated
- D. It contains long-range goals
Correct answer: B
Rationale: The correct answer is B. A nursing plan of care is developed by the nursing staff, not the patient's physician. Choice A is correct as nursing plans of care typically include short-term goals to address immediate patient needs. Choice C is correct because nursing plans of care must be continually evaluated and adjusted based on the patient's progress. Choice D is incorrect as nursing plans of care can include both short-term and long-range goals to address the patient's overall health and well-being.
3. Testosterone production is regulated by which of the following glands?
- A. Pineal
- B. Thymus
- C. Parathyroid
- D. Pituitary
Correct answer: D
Rationale: Testosterone production is regulated by the pituitary gland. The pituitary gland secretes luteinizing hormone (LH), which stimulates the Leydig cells in the testes to produce testosterone. This hormone is not regulated by the Pineal, Thymus, or Parathyroid glands. The Pineal gland is responsible for secreting melatonin, the Thymus gland is involved in immune function, and the Parathyroid glands regulate calcium levels in the blood.
4. What causes hepatic encephalopathy?
- A. Buildup of ammonia in the body
- B. Buildup of urea in the body
- C. Fatty infiltration of the liver
- D. Jaundice
Correct answer: A
Rationale: Hepatic encephalopathy is caused by the buildup of ammonia in the body, not urea. Ammonia accumulates due to liver dysfunction, leading to neurological symptoms. Fatty infiltration of the liver may lead to conditions like non-alcoholic fatty liver disease, but it is not the direct cause of hepatic encephalopathy. Jaundice is a symptom of liver dysfunction but is not the primary cause of hepatic encephalopathy.
5. What is the priority intervention for a patient with fluid overload?
- A. Administer diuretics
- B. Administer IV fluids
- C. Provide oral fluids
- D. Provide chest physiotherapy
Correct answer: A
Rationale: The correct answer is to administer diuretics. Diuretics help reduce excess fluid in cases of fluid overload, making it the priority intervention. Administering additional IV fluids (choice B) would exacerbate the problem by adding more fluid. Providing oral fluids (choice C) is not the priority as the excess fluid needs to be removed first. Chest physiotherapy (choice D) is not the primary intervention for fluid overload.
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