RN ATI Adult Medical Surgical Exam
Question 1 of 100
A nurse is planning care for an older adult client who has a history of dementia and is admitted
following surgical repair of a hip fracture. Which of the following actions should the nurse plan to
take?
A. Encourage frequent visits from friends.
B. Play serene, soothing music.
C. Keep the over-the-bed light on.
D. Apply restraints to the upper extremities.
Correct Answer: B. Play serene, soothing music.
Rationale: Soothing music provides a calming environment for dementia patients, reducing agitation and
confusion postoperatively.
RN ATI Adult Medical Surgical Exam Page 1
, Question 2 of 100
A nurse is caring for a pre-school age child who has epiglottitis with a barking cough. Which of the
following actions should the nurse take?
A. Obtain a throat culture.
B. Use a tongue depressor to observe the epiglottis.
C. Initiate airborne precautions.
D. Monitor oxygen saturation.
Correct Answer: D. Monitor oxygen saturation.
Rationale: Epiglottitis can cause rapid airway obstruction; oxygen saturation monitoring is critical. Throat culture
and tongue depressor use can trigger laryngospasm and complete airway obstruction.
RN ATI Adult Medical Surgical Exam Page 2
, Question 3 of 100
A nurse is assessing a school-age child who reports difficulty seeing the chalkboard in the front of the
classroom. Which of the following tests should the nurse perform?
A. Instruct the child to track items in the room.
B. Ask the child to find numbers on Ishihara plates.
C. Instruct the child to identify letters on a Snellen eye chart.
D. Ask the child to identify items in a book.
Correct Answer: C. Instruct the child to identify letters on a Snellen eye chart.
Rationale: The Snellen chart tests visual acuity for distance, appropriate for a child reporting difficulty seeing
the distant chalkboard.
RN ATI Adult Medical Surgical Exam Page 3
, Question 4 of 100
A nurse is reviewing a client's ECG rhythm strip. Which of the following components should the nurse
use to measure impulse conduction from the sinus node through the atrioventricular node?
A. ST segment
B. PP interval
C. PR interval
D. QRS complex
Correct Answer: C. PR interval.
Rationale: The PR interval measures the time from atrial depolarization (sinus node) through the AV node to
the start of ventricular depolarization.
RN ATI Adult Medical Surgical Exam Page 4
Question 1 of 100
A nurse is planning care for an older adult client who has a history of dementia and is admitted
following surgical repair of a hip fracture. Which of the following actions should the nurse plan to
take?
A. Encourage frequent visits from friends.
B. Play serene, soothing music.
C. Keep the over-the-bed light on.
D. Apply restraints to the upper extremities.
Correct Answer: B. Play serene, soothing music.
Rationale: Soothing music provides a calming environment for dementia patients, reducing agitation and
confusion postoperatively.
RN ATI Adult Medical Surgical Exam Page 1
, Question 2 of 100
A nurse is caring for a pre-school age child who has epiglottitis with a barking cough. Which of the
following actions should the nurse take?
A. Obtain a throat culture.
B. Use a tongue depressor to observe the epiglottis.
C. Initiate airborne precautions.
D. Monitor oxygen saturation.
Correct Answer: D. Monitor oxygen saturation.
Rationale: Epiglottitis can cause rapid airway obstruction; oxygen saturation monitoring is critical. Throat culture
and tongue depressor use can trigger laryngospasm and complete airway obstruction.
RN ATI Adult Medical Surgical Exam Page 2
, Question 3 of 100
A nurse is assessing a school-age child who reports difficulty seeing the chalkboard in the front of the
classroom. Which of the following tests should the nurse perform?
A. Instruct the child to track items in the room.
B. Ask the child to find numbers on Ishihara plates.
C. Instruct the child to identify letters on a Snellen eye chart.
D. Ask the child to identify items in a book.
Correct Answer: C. Instruct the child to identify letters on a Snellen eye chart.
Rationale: The Snellen chart tests visual acuity for distance, appropriate for a child reporting difficulty seeing
the distant chalkboard.
RN ATI Adult Medical Surgical Exam Page 3
, Question 4 of 100
A nurse is reviewing a client's ECG rhythm strip. Which of the following components should the nurse
use to measure impulse conduction from the sinus node through the atrioventricular node?
A. ST segment
B. PP interval
C. PR interval
D. QRS complex
Correct Answer: C. PR interval.
Rationale: The PR interval measures the time from atrial depolarization (sinus node) through the AV node to
the start of ventricular depolarization.
RN ATI Adult Medical Surgical Exam Page 4
