ATI RN
Free Medical Surgical Certification Practice Questions Questions
Question 1 of 5
A client with chronic obstructive pulmonary disease (COPD) is being taught by a healthcare provider. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because daily exercise may exacerbate COPD symptoms in some cases. Individuals with COPD may experience increased shortness of breath and fatigue during physical activity. Therefore, it is crucial to tailor an exercise plan to each client's specific needs and capabilities. Choices A, B, and D are correct as they align with COPD management strategies of smoking cessation, dietary modifications, and hydration to help with mucus clearance, respectively.
Question 2 of 5
A healthcare professional assesses a client who is experiencing an acute asthma attack. Which assessment finding requires immediate intervention?
Correct Answer: D
Rationale: The correct answer is D: Silent chest. This finding indicates severe airway obstruction and impending respiratory failure, requiring immediate intervention to prevent respiratory arrest. Silent chest means minimal or absent breath sounds, suggesting no air movement, which is a critical emergency situation. Wheezing (A), increased respiratory rate (B), and use of accessory muscles (C) are common in asthma attacks but do not indicate as severe a condition as a silent chest. Monitoring and addressing a silent chest promptly is crucial in managing acute asthma exacerbations.
Question 3 of 5
A nurse teaches a client with tuberculosis (TB) who is being discharged. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: The correct answer is C because a client with TB should not return to work immediately due to the risk of spreading the infection. Taking medication as prescribed (A), having regular follow-up chest x-rays (B), and using tissues to cover the mouth when coughing (D) are all important aspects of managing TB and preventing its spread. Returning to work immediately can put coworkers at risk of contracting TB. Therefore, the client should understand the importance of taking precautions and following healthcare provider recommendations to ensure proper treatment and prevent transmission of the disease.
Question 4 of 5
A client who had coronary artery bypass grafting yesterday needs care. What actions can the nurse delegate to the unlicensed assistive personnel (UAP)? (SATA)
Correct Answer: C
Rationale: The correct answer is C because ensuring the client wears TED hose or sequential compression devices is within the scope of practice for UAP. This task does not require critical thinking or assessment skills, making it suitable for delegation. Administering antibiotics (A) and encouraging spirometer use (B) require clinical judgment and assessment skills, which UAP do not possess. Having the client rate pain and report to the nurse (D) involves subjective assessment and potential interventions, making it inappropriate for delegation to UAP.
Question 5 of 5
A client who is interested in smoking cessation receives teaching from a nurse. Which statements should the nurse include in this teaching? (Select ONE that does not apply)
Correct Answer: C
Rationale: The correct answer is C: Identify reasons for quitting smoking. This should not be included in the teaching because the client should already have identified their reasons for quitting before receiving the teaching. The client should have a clear understanding of why they want to quit smoking before seeking help. Choices A and B are correct as they provide practical tips to distract from smoking and avoid unhealthy behaviors. Choice D is also correct as making a list of reasons can help reinforce motivation.