ATI RN
ATI Nurs285 Med Surg Exam Questions
Question 1 of 5
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and a prescription for oxygen therapy at 4L/min via nasal cannula. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Attaching a humidifier bottle to the base of the flow meter is the correct action for oxygen therapy at 4L/min. Humidification helps prevent dryness and irritation of the mucous membranes caused by prolonged oxygen therapy. Securing the oxygen tubing to the bed sheet may lead to disconnection or kinking. Removing the nasal cannula during eating can cause hypoxia. Petroleum jelly is flammable and unsafe with oxygen.
Question 2 of 5
A nurse is providing teaching to a client about manifestations of pulmonary embolism (PE). Which of the following findings should the nurse include in the teaching? (Select All that Apply.)
Correct Answer: A,B,D
Rationale: Chest pain that worsens with deep breathing (pleuritic pain), shortness of breath, and bloody sputum are hallmark symptoms of pulmonary embolism due to inflammation, reduced oxygenation, and possible pulmonary infarction. Facial weakness and difficulty speaking are more indicative of neurological conditions like stroke or myasthenia gravis and are not typical of PE.
Question 3 of 5
The nurse teaches a patient with chronic obstructive pulmonary disease (COPD) about pursed-lip breathing (PLB). Which action by the patient would indicate to the nurse that no further teaching is needed?
Correct Answer: C
Rationale: Inhaling deeply through the nose and exhaling slowly through pursed lips is the correct technique for pursed-lip breathing. This method helps maintain open airways, reduces dyspnea, and promotes relaxation. Other options do not align with the proper technique, as they involve quick exhalation or incorrect inhalation routes.
Question 4 of 5
Unlicensed assistive personnel (UAP) reports a client diagnosed with a fractured femur has 'fatty globules' floating in the urinal. Which intervention should the nurse implement first?
Correct Answer: C
Rationale: Assessing the client for dyspnea and altered mental status is the first priority because these are early indicators of fat embolism syndrome (FES), a serious complication of long bone fractures. Immediate assessment allows for early recognition and intervention to prevent further complications.
Question 5 of 5
A 70-year-old client in a nursing home is found wandering in the hall and has a new onset confusion. Which action should the registered nurse implement first?
Correct Answer: D
Rationale: Assessing the client's lung fields and temperature is the first priority because new onset confusion in an older adult is often a symptom of an underlying medical issue, such as infection or hypoxia. Early assessment helps identify the cause and guide appropriate interventions.