ATI RN
ATI Med Surg Exam 1 Questions
Question 1 of 5
A nurse on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that he has a frequent productive cough and is short of breath. The nurse should anticipate which of the following assessment findings for this client?
Correct Answer: C
Rationale: Increased anteroposterior diameter (barrel chest) results from chronic air trapping in emphysema. Normal oxygen saturation is unlikely, respiratory acidosis is more common due to hypoventilation, and petechiae are not typical unless severe coughing or coagulation issues are present.
Question 2 of 5
A nurse is teaching a client who will undergo a bronchoscopy procedure. The provider will use a rigid scope and general anesthesia. The nurse should explain that the client's neck will be in which of the following positions?
Correct Answer: A
Rationale: Hyperextension aligns the airway for rigid scope insertion, facilitating visualization and minimizing injury. Neutral, extended, or flexed positions may obstruct or complicate the procedure.
Question 3 of 5
A nurse is assessing a client who is to undergo a left lobectomy to treat lung cancer. The client tells the nurse that she is scared and wishes she had never smoked. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: This empathetic response acknowledges the client's feelings and encourages her to express her concerns, fostering therapeutic communication. Option A dismisses her feelings, C shifts focus to the nurse, and D minimizes her anxiety.
Question 4 of 5
A nurse is caring for a client who has just developed a pulmonary embolism. Which of the following medications should the nurse anticipate administering?
Correct Answer: C
Rationale: Heparin, an anticoagulant, prevents new clot formation and extension in pulmonary embolism, a life-threatening condition. Dexamethasone, atropine, and furosemide do not address the clot.
Question 5 of 5
A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to promote thinning of respiratory secretions?
Correct Answer: C
Rationale: Increased fluid intake hydrates mucous membranes, thinning secretions for easier expectoration. Coughing, spirometry, and ambulation aid clearance but don't directly thin secretions.