ATI RN
ATI n232 Med Surg Exam Questions
Question 1 of 5
Which of the following are considered barriers to appropriate communication with clients? Select all that apply.
Correct Answer: A,C,E
Rationale: A. Cultural incompetence hinders understanding. C. Implicit bias causes disparities. E. Lack of diversity limits cultural familiarity. B. Training improves communication. D. High health literacy aids interaction.
Question 2 of 5
A nurse is caring for a client diagnosed with pneumonia and assesses labored breathing and copious tracheobronchial secretions. What priority action should the nurse encourage with the client?
Correct Answer: D
Rationale: Incentive spirometry promotes lung expansion and secretion clearance, critical for pneumonia. A. Fluids thin secretions. B. Pursed-lip breathing is for COPD. C. High Fowler's aids breathing.
Question 3 of 5
A nurse is caring for a client diagnosed with adult respiratory distress syndrome (ARDS) and being treated with positive end expiratory pressure (PEEP). The nurse should understand that PEEP will benefit the client in what manner?
Correct Answer: D
Rationale: PEEP prevents alveolar collapse, improving oxygenation in ARDS. A. PEEP aids oxygenation, not weaning. B. It doesn't reduce trapped oxygen. C. It suppresses spontaneous breathing.
Extract:
Medical History
Vital Signs
Nurses' Notes
Client is a nonsmoker and has a history of GERD.
Question 4 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Prepare to administer an antibiotic |
| Measure the client's peak airflow. |
| Plan to administer bronchodilator |
| Request a prescription for a diuretic |
| Teach the client pursed lip breathing |
Correct Answer: B,C,D
Rationale: Condition: Asthma (wheezing, chest tightness, dry cough, low SpO2). Actions: B. Measuring peak airflow assesses asthma severity and treatment response. C. Bronchodilators relax airways, relieving symptoms. Parameters: C. Oxygen saturation monitors oxygenation. B. Pulmonary function tests evaluate airway obstruction. Other options (A, D, E) are irrelevant for asthma management.
Extract:
Question 5 of 5
A nurse is caring for a client who reports experiencing alteration in sense of smell following surgery for a total laryngectomy. The nurse should address the client's concern through which of the following response?
Correct Answer: B
Rationale: After laryngectomy, air bypasses the nose, impairing olfaction. B. This response accurately explains the cause of anosmia. A. The body cannot smell through the stoma. C. Smell loss is typically permanent without specific techniques. D. Appetite improvement does not restore smell.