ATI RN
ATI Medical Surgical Proctored Exam
1. When planning care, what factors should the nurse consider when utilizing evidence-based practice (EBP)? (SATA)
- A. Cost-saving measures
- B. Nurse's expertise
- C. Client preferences
- D. Research findings
Correct answer: B, C, D
Rationale: In evidence-based practice (EBP), nurses should consider the current evidence (research findings), client preferences, and the nurse's expertise when planning care. By integrating these factors, nurses can provide individualized, effective, and patient-centered care that aligns with the best available evidence, the patient's values, and the nurse's clinical knowledge and experience.
2. When reviewing a client's health record, a healthcare professional notes that the client is experiencing episodes of hypokalemia. Which of the following medications should be identified as a cause of the client's hypokalemia?
- A. Captopril
- B. Lisinopril
- C. Furosemide
- D. Spironolactone
Correct answer: C
Rationale: Furosemide, a loop diuretic, can lead to hypokalemia by increasing the excretion of potassium in the urine. This potassium loss can result in lower-than-normal levels of potassium in the body, leading to hypokalemia.
3. A nurse is caring for a client who has a prescription for a narcotic medication. After administration, what should the nurse do with the unused portion?
- A. Document the amount wasted
- B. Store it for later use
- C. Discard it with another nurse as a witness
- D. Return it to the pharmacy
Correct answer: C
Rationale: After administering a narcotic medication, any unused portion should be discarded with another nurse as a witness. This procedure ensures proper disposal of controlled substances and prevents misuse or diversion. Storing it for later use (Choice B) is not appropriate due to safety concerns and legal regulations. Returning it to the pharmacy (Choice D) is also not recommended as the medication is already out of the pharmacy's control. Documenting the amount wasted (Choice A) is important for accurate record-keeping but does not address the immediate need for safe disposal of the unused narcotic medication.
4. Is the parietal pericardium attached to the surface of the heart?
- A. True
- B. False
- C. Not Sure
- D. None of the above
Correct answer: True
Rationale: The parietal pericardium is a tough, fibrous outer layer that is attached to the diaphragm and the sternum but not directly to the surface of the heart. It forms a sac around the heart known as the pericardial sac. Therefore, the statement that the parietal pericardium is attached to the surface of the heart is false.
5. A nurse delegates a position change to a nursing assistive personnel. The nurse instructs the assistive personnel (AP) to place the patient in the lateral position. Which finding by the nurse indicates a correct outcome?
- A. Patient is lying semiprone.
- B. Patient is lying on side.
- C. Patient is lying on abdomen.
- D. Patient is lying on back.
Correct answer: B
Rationale: The correct answer is B because the lateral position means lying on the side with body weight on the dependent hip and shoulder. Choice A is incorrect as 'semiprone' means lying on the abdomen with one leg flexed. Choice C is incorrect as 'prone' means lying face down. Choice D is incorrect as 'supine' means lying on the back.
Similar Questions
Access More Features
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 30 days access @ $69.99
ATI Basic
- 50,000 Questions with answers
- All ATI courses Coverage
- 90 days access @ $149.99