ATI RN
Free Medical Surgical Certification Practice Questions Questions
Question 1 of 5
A client has a tracheostomy that is 3 days old. Upon assessment, the nurse notes the client's face is puffy, and the eyelids are swollen. What action by the nurse takes priority?
Correct Answer: A
Rationale: The correct answer is A: Assess the client's oxygen saturation. This is the priority because the client's puffy face and swollen eyelids may indicate airway obstruction or respiratory distress, common complications in tracheostomy patients. Assessing oxygen saturation helps determine if the client is getting enough oxygen. Option B (Notify the Rapid Response Team) is not the immediate action unless the client's condition deteriorates rapidly. Option C (Oxygenate the client with a bag-valve-mask) may be necessary but should come after assessing oxygen saturation. Option D (Palpate the skin of the upper chest) is irrelevant to the client's current symptoms.
Question 2 of 5
The client is prescribed a long-acting beta2 agonist and expresses concerns about the cost, stating they only use the inhaler during asthma attacks. How should the nurse respond?
Correct Answer: B
Rationale:
Step 1: The nurse must acknowledge the client's concern about the cost of the inhaler.
Step 2: Suggesting community services shows empathy and addresses the financial aspect.
Step 3: Encouraging daily use aligns with the standard treatment guidelines.
Step 4: By addressing both cost and importance of daily use, the nurse promotes adherence and support.
Summary of other choices:
A: Incorrect. This option doesn't address the client's financial concerns.
C: Incorrect. Focusing on fears of breathlessness doesn't directly address the client's cost concern.
D: Incorrect. While discussing daily use is important, not directly addressing the cost concern may lead to non-adherence.
Question 3 of 5
A client with a tracheostomy experienced a coughing spell during a meal that was being fed by an unlicensed assistive personnel (UAP). What action by the nurse takes priority?
Correct Answer: A
Rationale: The correct answer is A: Assess the client's lung sounds. This action takes priority because the client experienced a coughing spell, indicating a potential aspiration risk. Assessing lung sounds can help determine if there is any respiratory distress or compromised airway.
B: Assigning a different UAP does not address the immediate concern of the client's respiratory status.
C: Reporting the UAP to the manager may be necessary but is not the immediate priority when the client's health is at risk.
D: Requesting thicker liquids for meals does not address the client's current condition and may not be appropriate without proper assessment.
Question 4 of 5
When teaching a patient to care for himself before discharge, what should the nurse initially do?
Correct Answer: C
Rationale: Prioritizing teaching needs ensures the most critical information is covered first.
Question 5 of 5
What health hazard is significant, particularly to patients with asthma?
Correct Answer: B
Rationale: Air pollution exacerbates respiratory conditions like asthma.