ATI RN
Free Medical Surgical Certification Practice Questions Questions
Question 1 of 5
A client with chronic obstructive pulmonary disease (COPD) is being taught by a nurse. What nutrition information should the nurse include in the teaching?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale:
1. High-fiber foods promote gastric emptying, reducing the risk of bloating and discomfort in COPD patients.
2. COPD patients may experience decreased appetite, and high-fiber foods can provide necessary nutrients without overeating.
3. Increased fiber intake can aid in managing constipation, a common issue in patients with COPD due to decreased physical activity.
Summary:
A: Avoiding fluids before meals is not directly related to COPD management.
B: Resting before meals may help with dyspnea but does not address nutritional needs.
C: Consuming six small meals a day may not be necessary for all COPD patients and is not as crucial as promoting gastric emptying with high-fiber foods.
Question 2 of 5
What is the first action that you should direct the caller to perform?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
A client is having a left pneumonectomy. In planning this client's postoperative care, nursing interventions for a postoperative left pneumonectomy would include:
Correct Answer: D
Rationale: Chest tubes are not usually necessary in a pneumonectomy, because there is no lung to re-expand on the operative side. The pneumonectomy client should be positioned on the back or operated side, because the sutured bronchial stump may open, which would allow fluid to drain into the unoperated side and drown the client. The client should not have a pillow under the shoulder and back, because of the subscapular incision. Rales are commonly heard over the base of the remaining lung. An increase could indicate circulatory overload. Rales should be closely monitored.
Question 4 of 5
While caring for a client using O2 in the hospital, what assessment finding indicates that goals for a priority diagnosis are being met?
Correct Answer: B
Rationale: The correct answer is B because intact skin behind the ears indicates proper oxygen delivery, ensuring the client's respiratory needs are being met. This assessment finding shows that the oxygen therapy is effective in improving oxygenation.
A: This choice is incorrect as the client's meal intake does not directly reflect the effectiveness of oxygen therapy.
C: Although important, the client's understanding of the need for oxygen does not directly indicate the success of the oxygen therapy.
D: Unchanged weight is not a direct indicator of the effectiveness of oxygen therapy in this situation.
Question 5 of 5
Why is the potential for death from infections with multidrug-resistant microorganisms increased?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.