ATI RN
ATI Nursing 232 Med Surg Exam Questions
Question 1 of 5
In the context of developing a care plan for a patient on a ventilator to prevent ventilator-associated pneumonia, which interventions should be included? Select all that apply.
Correct Answer: A,B,D
Rationale:
Choice A: Implementing ventilator-weaning protocols minimizes exposure to mechanical ventilation, a significant risk factor for ventilator-associated pneumonia.
Choice B: Frequent oral care reduces respiratory pathogens in the oral cavity, preventing their aspiration.
Choice D: Positioning in a semi-upright position (30 to 45 degrees), not prone, reduces aspiration risk.
Choices C and E are incorrect as suctioning should be based on clinical need, not a fixed schedule, and avoiding suctioning could increase infection risk.
Question 2 of 5
A nurse is preparing to administer cefaclor 500 mg PO every 12 hours. If the available cefaclor oral suspension is 250 mg/5 mL, how many mL should the nurse administer per dose?
Correct Answer: 5 mL
Rationale:
Step 1: Determine cefaclor concentration: 250 mg ÷ 5 mL = 50 mg/mL.
Step 2: Calculate volume for 500 mg dose: 500 mg ÷ 50 mg/mL = 10 mL. Thus, 10 mL is the correct dose.
Question 3 of 5
A patient diagnosed with lung carcinoma is scheduled for a left pneumonectomy. Which nursing intervention should be prioritized in the immediate postoperative period?
Correct Answer: C
Rationale: Assessing the chest tube and pleur-evac is critical to monitor for complications like excessive bleeding or pneumothorax, ensuring lung re-expansion. Other interventions, while important, are secondary in the immediate postoperative period.
Question 4 of 5
A nurse is caring for a patient who is tearful while refusing care and medications. Which of the following is the most appropriate response by the nurse?
Correct Answer: B
Rationale: This response shows empathy, acknowledges the patient's emotional state, and encourages open communication to address concerns, fostering trust and cooperation.
Question 5 of 5
A nurse is caring for a patient who has just returned to the unit following a bronchoscopy and requests coffee. The nurse assesses that it is safe for the patient to resume oral liquids when which of the following behaviors is demonstrated?
Correct Answer: B
Rationale: Intact cough and swallowing reflexes are essential to prevent aspiration, the primary concern post-bronchoscopy before resuming oral intake.