ATI RN
ATI SP 250 Exam 3 Med Surg Exam Questions
Question 1 of 5
A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?
Correct Answer: C
Rationale: This is because central cyanosis reflects a decrease in arterial oxygen saturation and is best seen in areas where blood vessels are close to the surface, such as the oral mucosa, tongue, and lips. Peripheral cyanosis, which may be caused by vasoconstriction or poor circulation, can be seen in the soles of the feet, ear lobes, and nail beds, but it does not necessarily indicate hypoxemia.
Question 2 of 5
A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority finding to report to the provider?
Correct Answer: A
Rationale: Difficulty swallowing is the priority finding to report to the provider.
Rationale: This is because difficulty swallowing can indicate airway edema, which can compromise breathing and oxygenation. The nurse should monitor the client's respiratory status and administer oxygen as prescribed. The other findings are also important, but not as urgent as airway obstruction.
Question 3 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: B
Rationale: Using a bronchodilator 1 hour before eating can improve breathing and oxygenation, making it easier for the client to eat. The nurse should also advise the client to drink fluids between meals, eat small frequent meals, and increase protein intake to maintain muscle mass and immune function.
Question 4 of 5
A nurse is planning a presentation about HIV for a church-based group. Which of the following information about HIV transmission should the nurse include?
Correct Answer: C
Rationale: This is because HIV is a virus that infects certain cells of the immune system, such as CD4 cells or T cells. HIV can be found in blood, semen, vaginal fluid, breast milk, and other body fluids that contain blood. HIV can be transmitted through sexual contact, sharing needles or syringes, mother-to-child transmission during pregnancy or breastfeeding, or occupational exposure to blood or body fluids.
Question 5 of 5
A nurse is planning an educational program about basal cell carcinoma. Which of the following information should the nurse plan to include?
Correct Answer: B
Rationale: This is because basal cell carcinoma originates from the basal layer of the epidermis, which does not have access to blood vessels or lymphatics that can facilitate spreading to other organs. Basal cell carcinoma usually grows slowly and locally, and can be treated with surgery or radiation.