ATI RN
ATI Med Surg Exam 1 Questions
Question 1 of 5
A nurse is developing a plan of care for a client who has COPD. The nurse should include which of the following interventions in the plan?
Correct Answer: B
Rationale: Pursed-lip breathing helps clients with COPD exhale more effectively, preventing air trapping, reducing dyspnea, and improving oxygenation. A low protein diet is not advised as adequate protein is needed for muscle maintenance. Fluid restriction is unnecessary unless fluid overload is present, and early-morning exercise may exacerbate shortness of breath due to diurnal lung function variations.
Question 2 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 3 of 5
A nurse is planning care for a client who has acute respiratory distress syndrome (ARDS). Which of the following interventions should the nurse include in the plan?
Correct Answer: C
Rationale: Prone positioning improves oxygenation in ARDS by reducing lung compression and redistributing blood flow. Low-flow oxygen is inadequate, high-protein foods are beneficial but not the priority, and excessive fluid intake risks pulmonary edema.
Question 4 of 5
A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Keeping the drainage system below chest level prevents backflow of fluid or air into the pleural space, maintaining negative pressure. Disconnecting the tube risks pneumothorax, emptying the chamber is unnecessary, and clamping can cause tension pneumothorax.
Question 5 of 5
A nurse is providing dietary teaching for a client who has chronic obstructive pulmonary disease. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Using a bronchodilator before eating reduces dyspnea, improving appetite and oxygen delivery. Large meals can cause abdominal distension, limiting water risks dehydration, and reducing protein is detrimental to muscle maintenance.