ATI RN
ATI Med Surg 2 Respiratory exam Questions
Question 1 of 5
A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?
Correct Answer: C
Rationale: Oliguria (reduced urine output) is a primary sign of kidney transplant rejection. It indicates that the transplanted kidney is not functioning properly, which is a critical indicator of rejection.
Question 2 of 5
A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Implementing a low-sodium diet helps reduce fluid retention and ascites. Furosemide is a diuretic that reduces fluid overload. Measuring abdominal girth monitors ascites progression. Warfarin increases bleeding risk, and weight lifting can exacerbate varices.
Question 3 of 5
A nurse is caring for a client who has pleural effusion and has undergone thoracentesis. The nurse should identify which of the following findings as indicative of an infection?
Correct Answer: D
Rationale: Purulent fluid is indicative of an infection as it contains pus, which is a collection of dead white blood cells, bacteria, and tissue debris.
Question 4 of 5
A nurse is discussing kidney transplant with a client who has end-stage renal disease (ESRD). Which of the following should the nurse identify as a contraindication for this treatment?
Correct Answer: C
Rationale: Alcohol use disorder is a contraindication due to the potential for poor adherence to post-transplant care and medication, as well as the increased risk of liver damage.
Question 5 of 5
A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: Movement of the trachea towards the unaffected side is a sign of tension pneumothorax, which requires immediate intervention as it can compromise respiratory function.