ATI RN
Free Medical Surgical Certification Practice Questions Questions
Question 1 of 5
A client is prescribed nicotine replacement therapy. Which statement should the nurse include in this client's teaching?
Correct Answer: A
Rationale: The correct answer is A because smoking while on nicotine replacement therapy can lead to nicotine overdose, increasing the risk of a stroke due to excessive nicotine intake. This statement emphasizes the importance of avoiding smoking during treatment. Choice B is incorrect as it does not address the specific risk associated with smoking while on the medication. Choice C is incorrect as stopping the medication suddenly does not directly increase the risk for a heart attack. Choice D is irrelevant to nicotine replacement therapy and does not provide information related to the medication's use.
Question 2 of 5
A healthcare professional auscultates a harsh hollow sound over a client's trachea & larynx. Which action should the healthcare professional take first?
Correct Answer: A
Rationale: The correct answer is A: Document findings. This is important because the harsh hollow sound over the trachea and larynx could indicate a potential emergency or serious condition like an airway obstruction or laryngeal edema. Documenting findings helps in providing clear communication to other healthcare professionals and ensures proper follow-up care. Administering O2 therapy (B) or albuterol (D) without a clear understanding of the underlying issue could be harmful. Positioning the client in high-Fowler's position (C) may not directly address the potential emergency at hand.
Question 3 of 5
After a thoracentesis, a healthcare provider assesses a client. Which assessment finding warrants immediate action?
Correct Answer: D
Rationale: The correct answer is D because tracheal deviation indicates a potential tension pneumothorax, a life-threatening emergency requiring immediate intervention. Tracheal deviation occurs when there is a significant shift in the mediastinum due to increased pressure in the pleural space. This can compromise respiratory function and lead to respiratory failure. Options A, B, and C are not as urgent as tracheal deviation. Pain at 5/10 is expected post-thoracentesis, a small amount of drainage is common, and a pulse oximetry reading of 93% on low oxygen is concerning but not immediately life-threatening.
Question 4 of 5
A client had a bronchoscopy 2 hours ago and asks for a drink of water. Which action should the nurse take next?
Correct Answer: C
Rationale: The correct answer is C: Assess the client's gag reflex before giving any food or water. After a bronchoscopy, the client may have an impaired gag reflex due to the numbing agent used during the procedure. Assessing the gag reflex is crucial to prevent aspiration and ensure the client can safely swallow without the risk of choking or inhaling fluids. This step is essential before offering any food or water to the client. Option A is incorrect because calling the healthcare provider for a prescription is unnecessary at this point. Option B is incorrect because ice chips can still pose a risk if the client's gag reflex is impaired. Option D is incorrect as allowing the client to have a sip without assessing the gag reflex first could lead to complications if the client is unable to swallow properly.
Question 5 of 5
A client with dyspnea and difficulty climbing stairs is classified as having class III dyspnea. Which intervention should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: The correct answer is A: Assistance with activities of daily living. Class III dyspnea signifies moderate exertion causing symptoms. Therefore, the client may need help with daily activities to conserve energy. Daily physical therapy (B) may be too strenuous. Oxygen therapy (C) may not be necessary at this point. Complete bedrest (D) can lead to deconditioning.