ATI RN
ATI Medical Surgical Proctored Exam
1. How does the pain of a myocardial infarction (MI) differ from stable angina? (SATA)
- A. Accompanied by shortness of breath
- B. Feelings of fear or anxiety
- C. Lasts longer than 15 minutes
- D. Relieved by taking nitroglycerin
Correct answer: A, C
Rationale: The pain of an MI is often accompanied by shortness of breath and feelings of fear or anxiety. It typically lasts longer than 15 minutes and is not relieved by nitroglycerin. Unlike stable angina, the pain of an MI occurs without a known cause such as exertion.
2. The client asks the nurse what nonpharmacological intervention can be used to reduce pain and swelling in her joints affected by rheumatoid arthritis. What is the most appropriate response by the nurse?
- A. “Ice packs can be used to reduce swelling but should be removed after 20 minutes.”
- B. “Heat always makes the swelling go down. You do not need any other interventions.”
- C. “Try high impact exercise exercise like running to loosen up your joints and reduce pain.”
- D. “Apply ice packs. It is generally okay to keep them on for up to one hour at a time.”
Correct answer: “Ice packs can be used to reduce swelling but should be removed after 20 minutes.”
Rationale:
3. What type of dehydration occurs when the electrolyte deficit exceeds the water deficit?
- A. Isotonic dehydration
- B. Hypotonic dehydration
- C. Hypertonic dehydration
- D. Hyperosmotic dehydration
Correct answer: B
Rationale: Hypotonic dehydration occurs when the loss of electrolytes exceeds the loss of water, leading to a decrease in plasma osmolarity. This often occurs when sodium loss is greater than water loss, as in diarrhea or vomiting.
4. If a person could not make bile, what would happen?
- A. experience fatigue, as the body would not be able to make lipid carriers to deliver fat to body cells for energy
- B. have less cholesterol being made by the liver
- C. need to consume higher levels of fat
- D. be unable to absorb most lipids, and fat would be excreted in the feces
Correct answer: D
Rationale: The correct answer is D. Bile is essential for emulsifying fats in the small intestine, allowing them to be absorbed. Without bile, most fats would not be absorbed and would be excreted in the feces. Choices A, B, and C are incorrect because the primary role of bile is in the digestion and absorption of fats, rather than affecting lipid carriers, cholesterol production, or dietary fat consumption.
5. Listed below are five categories that identify the responsibilities of the practical nurse manager in personnel management. Which of these categories is most appropriate for the task of 'Listening and responding to soldiers' suggestions and complaints'?
- A. Accountability
- B. Personal/professional development
- C. Individual training
- D. Military appearance/physical condition
Correct answer: A
Rationale: The correct answer is A: Accountability. Accountability in personnel management involves being responsible for one's actions and decisions. Part of being accountable includes listening to and addressing soldiers' suggestions and complaints. This helps in fostering a positive work environment and improving communication within the team. Choices B, C, and D are incorrect because while personal/professional development, individual training, and military appearance/physical condition are important aspects of personnel management, they do not directly relate to the specific task of listening and responding to soldiers' suggestions and complaints.
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