ATI RN
Free Medical Surgical Certification Practice Questions Questions
Question 1 of 9
A nurse collaborates with a respiratory therapist to complete pulmonary function tests (PFTs) for a client. Which statements should the nurse include in communications with the respiratory therapist prior to the tests? (Select all that apply)
Correct Answer: B
Rationale: The correct answer is B because it communicates important information to the respiratory therapist regarding the client's readiness for the PFTs. Going down to radiology indicates the client is prepared for the examination, which ensures the test can be conducted smoothly. Rationale: A: Holding the client's morning bronchodilator medication may impact test results, but this information is more relevant for the healthcare provider interpreting the results, not the respiratory therapist conducting the test. C: Physical therapy's statement about running on a treadmill is irrelevant to the PFTs and does not impact the collaboration between the nurse and respiratory therapist. D: Advising the client not to smoke for 6 hours prior to the test is important for accurate results, but this information is more pertinent for the client and healthcare provider interpreting the results, not the respiratory therapist conducting the test.
Question 2 of 9
While discussing factors causing emphysema with Mr. Puff, what major factor is he already aware of?
Correct Answer: C
Rationale: Smoking is the leading cause of emphysema.
Question 3 of 9
How are pulse rate, volume, and rhythm used to identify the severity of shock and estimate the approximate reduction in blood volume?
Correct Answer: A
Rationale: Decreased blood pressure is a primary symptom in fluid imbalance as a result of inadequate circulating volume, leading to hypotension and possible shock.
Question 4 of 9
What nursing order should be included in Mr. Puff’s care plan?
Correct Answer: A
Rationale: Hydration thins mucus, facilitating expectoration.
Question 5 of 9
Which biological agent has a vaccine readily available but is only used for military and at-risk civilians?
Correct Answer: B
Rationale: The correct answer is B because anthrax vaccines are primarily reserved for military personnel and high-risk groups.
Question 6 of 9
While assessing a client with a tracheostomy, a nurse notes that the tracheostomy tube is pulsing with the heartbeat during a pulse check. No other abnormal findings are noted. What action should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Stay with the client and ask someone else to contact the provider immediately. Rationale: 1. Pulsation of the tracheostomy tube with heartbeat indicates the tube is very close to a major blood vessel. 2. Immediate provider notification is crucial to prevent potential complications. 3. Removing the tube without professional guidance can lead to severe bleeding and airway compromise. 4. Contacting the provider promptly ensures timely intervention and appropriate next steps. Summary: A: Notifying the operating room is premature and unnecessary at this point. B: Pulsation may not always be normal and warrants immediate action. C: Removing the tube without professional guidance can be harmful to the client.
Question 7 of 9
What nursing action takes priority for Mr. Alexander intubated for pneumonia?
Correct Answer: B
Rationale: Clearing airway secretions ensures adequate ventilation.
Question 8 of 9
What is your evaluation of Mr. Jackson’s situation with continuing dyspnea, chest pain, and low-grade fever?
Correct Answer: A
Rationale: Reaccumulation of infected fluid explains persistent symptoms.
Question 9 of 9
In view of the fact that most older adults take at least six prescription drugs, what are four nursing interventions that can specifically help prevent problems caused by multiple drug use in older patients?
Correct Answer: D
Rationale: These interventions ensure safe and effective medication management, reducing risks associated with polypharmacy.