ATI Medsurg Proctored Final Exam -Nurselytic

Questions 152

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ATI Medsurg Proctored Final Exam Questions

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Question 1 of 5

A nurse is collaborating on care for a client who has COPD. Which of the following tasks should the nurse recommend be referred to an occupational therapist for assistance?

Correct Answer: A

Rationale: The correct answer is A because an occupational therapist can help the client with COPD by providing strategies and adaptive tools for meal preparation to conserve energy and promote independence in daily activities. Administering oxygen therapy (
B), monitoring oxygen saturation levels (
C), and assessing breathing patterns (
D) are within the scope of nursing practice for managing COPD. These tasks require clinical knowledge and skills that nurses are trained to perform.

Question 2 of 5

A nurse is assessing a client for hypoxemia during an asthma attack. Which of the following manifestations should the nurse expect?

Correct Answer: B

Rationale: The correct answer is B: Agitation. During an asthma attack, hypoxemia can lead to decreased oxygen supply to the brain, causing agitation due to hypoxia. Cyanosis (
A) is a bluish discoloration of the skin and mucous membranes, indicating severe hypoxemia. Hypotension (
C) is not typically associated with hypoxemia in asthma. Dizziness (
D) is more commonly seen in conditions like hyperventilation rather than hypoxemia. In summary, agitation is the most likely manifestation of hypoxemia during an asthma attack due to decreased oxygen supply to the brain.

Question 3 of 5

A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider?

Correct Answer: A

Rationale: The correct answer is A: White coating in the mouth. This adverse effect can indicate oral thrush, a fungal infection common with inhaled corticosteroids like fluticasone. The nurse should instruct the client to report this to the provider promptly for appropriate treatment. Increased heart rate (
B) and insomnia (
C) are common side effects of the medication but not usually serious enough to report immediately. Shortness of breath (
D) is a symptom of poorly controlled asthma and should be addressed promptly but not considered an adverse effect of the medication in this context.

Question 4 of 5

A nurse is monitoring a client who has a chest tube in place connected to wall suction due to a right-sided pneumothorax. The client complains of chest burning. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Repositioning the client can help alleviate chest burning caused by the chest tube.

Question 5 of 5

A nurse is teaching a middle-aged client about hypertension. Which of the following information should the nurse include in the teaching?

Correct Answer: A

Rationale: Diuretics are the first-line treatment for hypertension as they reduce blood volume, lowering blood pressure.

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