ATI RN
Medical Surgical Nursing Practice Questions Questions
Question 1 of 5
A client has a newly inserted chest drainage system with a water seal. Which of the following actions should be taken?
Correct Answer: B
Rationale: The correct answer is B: Keep the collection device below the level of the client's chest. This is important to ensure proper drainage and prevent backflow or air from entering the pleural space. Placing the collection device below the chest allows gravity to assist in drainage. Clamping the tube while ambulating (choice A) can lead to increased pressure in the chest, risking complications. Coiling the tubes (choice C) may cause kinks, obstructing drainage. Positioning the client flat (choice D) can lead to leaks in the tubing due to elevated pressure.
Question 2 of 5
A client with chronic obstructive pulmonary disease is being taught by a nurse about ways to facilitate eating. Which of the following statements indicates a need for further teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will take my bronchodilators after meals." Taking bronchodilators after meals can decrease their effectiveness due to delayed absorption. Step 1: Bronchodilators should be taken before meals to open airways for better breathing. Step 2: Resting before meals (A) can reduce shortness of breath. Eating small meals (C) can prevent overeating and aid digestion. Choosing non-gas forming foods (D) can reduce bloating.
Question 3 of 5
A nurse in an urgent care center is caring for a client who is having an acute asthma exacerbation. Which of the following actions is the nurse's highest priority?
Correct Answer: D
Rationale: The correct answer is D: Administering a nebulized beta-adrenergic. This is the highest priority because it directly addresses the acute asthma exacerbation by helping to open up the airways and improve breathing. Step 1: Assess the client's respiratory status Step 2: Administering the nebulized beta-adrenergic medication to relieve bronchospasm and improve airflow Step 3: Monitor the client's response to the medication and adjust care accordingly. Other choices are incorrect because A: Oxygen therapy may be needed but addressing the bronchospasm is the priority. B: Rest is important but not the priority in managing an acute asthma exacerbation. C: Positioning is helpful but not the priority over administering the medication to improve breathing.
Question 4 of 5
When reviewing the provider's orders, a nurse recognizes that clarification is needed for which of the following medications in a client experiencing an exacerbation of asthma?
Correct Answer: A
Rationale: The correct answer is A: Propranolol. Propranolol is a beta-blocker that can exacerbate asthma symptoms by causing bronchoconstriction. This medication is contraindicated in patients with asthma. The other choices (B: Theophylline, C: Montelukast, D: Prednisone) are commonly used in the management of asthma exacerbations and do not typically require clarification in this context. Theophylline is a bronchodilator, Montelukast is a leukotriene receptor antagonist, and Prednisone is a corticosteroid used for its anti-inflammatory effects in asthma.
Question 5 of 5
The healthcare provider is caring for a client who has heart failure and a history of asthma. The provider reviews the orders and recognizes that clarification is needed for which of the following medications?
Correct Answer: B
Rationale: The correct answer is B: Fluticasone. Fluticasone is an inhaled corticosteroid used to treat asthma, which can worsen heart failure symptoms. The healthcare provider needs to clarify this medication due to the client's history of asthma and heart failure. Carvedilol (A) is a beta-blocker used to treat heart failure. Captopril (C) is an ACE inhibitor also used in heart failure. Isosorbide dinitrate (D) is a vasodilator used for heart failure and angina, not contraindicated in asthma.