ATI RN
Free Medical Surgical Certification Practice Questions Questions
Question 1 of 5
A client with emphysema is being assessed by a nurse. Which clinical manifestation should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Pursed-lip breathing. In emphysema, air becomes trapped in the lungs due to damaged air sacs, making it difficult to exhale. Pursed-lip breathing helps to prolong exhalation, preventing air trapping. Decreased chest expansion (A) is more indicative of conditions like pleural effusion. Cyanosis (B) is a sign of inadequate oxygenation, which is not a primary manifestation of emphysema. Bradypnea (D) refers to slow breathing rate, which is not typically associated with emphysema. Pursed-lip breathing is a characteristic and effective coping mechanism seen in clients with emphysema.
Question 2 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 3 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 4 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.
Question 5 of 5
A client is interested in smoking cessation. Which statements should the nurse include in this client's teaching? (Select ONE that does not apply)
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.