ATI RN
ATI n232 Med Surg Exam Questions
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
Day 1:
Client is admitted with a 2-day history of headache, muscle aches, fever, sore throat, and fatigue.
Question 1 of 5
Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,C
Rationale: A. Wearing a mask prevents the spread of influenza via respiratory droplets, protecting the nurse and others. B. A private room minimizes transmission risk to other patients. C. Increased fluid intake supports hydration and immune function, reducing complications. D. Contact precautions are not needed for influenza, which is primarily droplet-transmitted. E. Antibiotics are ineffective against viral influenza.
Extract:
Medical History
Vital Signs
Nurses' Notes
Client is a nonsmoker and has a history of GERD.
Question 2 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 3 of 5
A nurse is reviewing arterial blood gas results for a client diagnosed with chronic obstructive pulmonary disease (COPD). The nurse should expect which abnormal finding?
Correct Answer: C
Rationale: COPD causes CO2 retention due to impaired ventilation, leading to hypercapnia (increased PaCO2) and respiratory acidosis. A. Hypoxemia, not increased oxygen, is typical. B. pH is usually low or normal due to acidosis, not elevated. D. Alveolar damage is structural, not an ABG finding.
Question 4 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.
Question 5 of 5
A nurse on a quality control committee is evaluating the results of recently implemented measures designed to reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the changes?
Correct Answer: C
Rationale: Comparing error rates pre- and post-intervention directly measures the effectiveness of changes. A. Cost studies assess resources, not outcomes. B. Benchmarks set goals, not evaluate results. D. Staff satisfaction does not measure error reduction.