ATI RN
Adult Medical Surgical ATI Questions
Question 1 of 5
When performing tracheostomy care, which intervention should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C: Secure new tracheostomy ties before removing old ones. This is essential to ensure the patient's airway remains stable and secure during the procedure. By securing the new ties first, the tracheostomy tube will not accidentally dislodge or become displaced. A: Using aseptic technique is important but not the immediate priority in this situation. B: Cleaning the inner cannula is a routine part of tracheostomy care but not the primary intervention during tie change. D: Applying suction when inserting the catheter is incorrect as suctioning should be performed after securing the new ties to maintain airway patency.
Question 2 of 5
A healthcare professional is preparing to administer albuterol syrup 1.6 mg PO tid. Available is albuterol 2 mg/5mL. How many mL should the healthcare professional administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: To determine the mL per dose of albuterol syrup, we need to calculate how many mL contain 1.6 mg of albuterol. Given that 2 mg of albuterol is in 5 mL of syrup, we can set up a proportion: 2 mg / 5 mL = 1.6 mg / x mL Cross-multiply to solve for x: 2 * x = 1.6 * 5 2x = 8 x = 4 mL Therefore, the correct answer is A: 4 mL. Choice B (6 mL) is incorrect because it does not match the calculated value. Choice C (10 mL) is incorrect as it is too high based on the calculation. Choice D (5.5 mL) is incorrect as it does not match the precise calculated value of 4 mL.
Question 3 of 5
A client is being treated for inhalational anthrax following bioterrorism exposure. Which of the following medications should NOT be expected as a common treatment for anthrax?
Correct Answer: D
Rationale: The correct answer is D, Penicillin G. Anthrax is caused by Bacillus anthracis, which is susceptible to ciprofloxacin and doxycycline. Penicillin and amoxicillin are not recommended due to the potential for B. anthracis to produce beta-lactamase, which can make the bacteria resistant to penicillin-based medications. Penicillin G is not effective in treating anthrax and should not be expected as a common treatment option.
Question 4 of 5
A client in a clinic presents with an acute asthma exacerbation. Which of the following medications should reduce the symptoms?
Correct Answer: D
Rationale: The correct answer is D: Albuterol via a jet nebulizer. Albuterol is a short-acting beta agonist that works by relaxing the muscles in the airways, helping to open them up and improve airflow. When administered via a nebulizer, it provides quick relief during an acute asthma exacerbation by directly targeting the airways. Cromolyn (A) is a mast cell stabilizer that is used for preventing asthma symptoms, not for acute exacerbations. Montelukast (B) is a leukotriene receptor antagonist that is used for maintenance therapy, not for immediate relief. Budesonide (C) is an inhaled corticosteroid used for long-term control of asthma, not for acute symptom relief.
Question 5 of 5
A client with asthma is taking fluticasone. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: The correct answer is D: Oral candidiasis. Fluticasone is a corticosteroid inhaler that can cause oral candidiasis as a common adverse effect due to its immunosuppressive properties. The step-by-step rationale is: 1. Fluticasone is a corticosteroid. 2. Corticosteroids can suppress the immune system. 3. Immunosuppression can lead to oral candidiasis. Other choices are incorrect because: A: Hypoglycemia is not a common adverse effect of fluticasone. B: Hypertension is not typically associated with fluticasone use. C: Polyuria is not a common side effect of fluticasone.