ATI RN
Medical Surgical ATI Proctored Exam Questions
Question 1 of 5
A client with COPD is developing a plan of care. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Instruct the client to use pursed-lip breathing. Pursed-lip breathing helps improve ventilation and decrease air trapping in clients with COPD, enhancing oxygenation and reducing shortness of breath. It also facilitates better gas exchange and can help the client manage their symptoms effectively. A: Restricting fluid intake is not typically indicated for clients with COPD unless they have comorbid conditions that require fluid restriction. B: Providing a low-protein diet is not a standard intervention for COPD management. Protein is important for muscle strength and repair in these clients. C: While exercise and activity are beneficial for clients with COPD, instructing them to do so specifically in the early-morning hours is not a priority intervention compared to pursed-lip breathing.
Question 2 of 5
A client has burns to his face, ears, and eyelids. What is the priority finding for the nurse to report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Difficulty swallowing. This is the priority finding to report because burns to the face, ears, and eyelids can lead to swelling, which can compromise the airway and cause difficulty swallowing or breathing. This finding indicates a potential airway obstruction, which requires immediate intervention to ensure the client's airway remains patent. Incorrect choices: A: Urinary output of 25 mL/hr - While monitoring urinary output is important, it is not the priority in this situation. C: Heart rate of 122/min - An elevated heart rate can be a response to pain and stress, but it is not the priority over airway concerns. D: Pain level of 6 on a scale of 0 to 10 - Pain management is important but not as critical as ensuring airway patency in this scenario.
Question 3 of 5
During an admission assessment of a client with COPD and emphysema complaining of a frequent productive cough and shortness of breath, what assessment finding should the nurse anticipate?
Correct Answer: B
Rationale: The correct answer is B: Increased anteroposterior diameter of the chest. In COPD and emphysema, the lungs lose their elasticity, causing the chest to become barrel-shaped with an increased anteroposterior diameter. This occurs due to hyperinflation of the lungs. This finding is known as "barrel chest" and is a classic sign of advanced COPD. A: Respiratory alkalosis is not typically associated with COPD and emphysema. C: An oxygen saturation level of 96% is within the normal range and does not specifically relate to the assessment findings in COPD and emphysema. D: Petechiae on the chest are not typically associated with COPD and emphysema; they may be indicative of other conditions such as bleeding disorders.
Question 4 of 5
While assessing a client with pulmonary tuberculosis, which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Lethargy. In pulmonary tuberculosis, lethargy is common due to systemic symptoms like fatigue and weakness. High-grade fever is also common but not specific to pulmonary tuberculosis. Weight loss, not weight gain, is a classic symptom due to decreased appetite. Dry cough is a common symptom, but not as specific as lethargy in pulmonary tuberculosis.
Question 5 of 5
A healthcare provider is assessing a client immediately after the removal of the endotracheal tube. Which of the following findings should the provider report to the healthcare provider?
Correct Answer: A
Rationale: The correct answer is A: Stridor. Stridor is a high-pitched, harsh respiratory sound that indicates airway obstruction, which can be life-threatening post endotracheal tube removal. Copious oral secretions (B), hoarseness (C), and sore throat (D) are common after endotracheal tube removal but do not indicate immediate airway compromise. Reporting stridor is crucial for prompt intervention to prevent respiratory distress.