ATI RN
Free Medical Surgical Certification Practice Questions Questions
Question 1 of 5
A nurse is interested in providing community education and screening on hypertension. In order to reach a priority population, to what target audience should the nurse provide this service?
Correct Answer: A
Rationale: The correct answer is A: African American churches. This target audience is appropriate because African Americans have a higher prevalence of hypertension compared to other ethnic groups. By providing education and screening at African American churches, the nurse can reach a population that is at higher risk for hypertension. Churches are also community hubs where individuals gather regularly, making it an effective platform for health promotion. Choice B: Asian American groceries is incorrect as it does not specifically target a population with a high prevalence of hypertension. Choice C: High school sports camps may not be an ideal target audience for hypertension education as the focus is typically on physical fitness rather than chronic disease management. Choice D: Women's health clinics may not reach the priority population of African Americans who have a higher prevalence of hypertension.
Question 2 of 5
The client is prescribed a long-acting beta2 agonist and expresses concerns about the cost, stating they only use the inhaler during asthma attacks. How should the nurse respond?
Correct Answer: B
Rationale: Step 1: The nurse must acknowledge the client's concern about the cost of the inhaler. Step 2: Suggesting community services shows empathy and addresses the financial aspect. Step 3: Encouraging daily use aligns with the standard treatment guidelines. Step 4: By addressing both cost and importance of daily use, the nurse promotes adherence and support. Summary of other choices: A: Incorrect. This option doesn't address the client's financial concerns. C: Incorrect. Focusing on fears of breathlessness doesn't directly address the client's cost concern. D: Incorrect. While discussing daily use is important, not directly addressing the cost concern may lead to non-adherence.
Question 3 of 5
A client is scheduled to have a tracheostomy placed in an hour. What action by the nurse is the priority?
Correct Answer: B
Rationale: The correct answer is B: Ensure informed consent is on the chart. This is the priority because obtaining informed consent is essential to ensure the client understands the procedure, risks, benefits, and alternatives. It protects the client's autonomy and ensures legal and ethical standards are met. Administering anxiolytic medication may help with anxiety but does not address the crucial issue of consent. Reinforcing teaching and starting antibiotics are important but secondary to obtaining informed consent.
Question 4 of 5
A client has a tracheostomy that is 3 days old. Upon assessment, the nurse notes the client's face is puffy, and the eyelids are swollen. What action by the nurse takes priority?
Correct Answer: A
Rationale: The correct answer is A: Assess the client's oxygen saturation. This is the priority because the client's puffy face and swollen eyelids may indicate airway obstruction or respiratory distress, common complications in tracheostomy patients. Assessing oxygen saturation helps determine if the client is getting enough oxygen. Option B (Notify the Rapid Response Team) is not the immediate action unless the client's condition deteriorates rapidly. Option C (Oxygenate the client with a bag-valve-mask) may be necessary but should come after assessing oxygen saturation. Option D (Palpate the skin of the upper chest) is irrelevant to the client's current symptoms.
Question 5 of 5
A client has a tracheostomy tube in place. When the nurse suctions the client, food particles are noted. What action by the nurse is best?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Tracheostomy cuff should be inflated to prevent aspiration. 2. Food particles indicate cuff leakage. 3. Measuring cuff pressure ensures proper sealing. 4. Prevents aspiration and respiratory complications. Summary: A: Elevating the head is beneficial but doesn't address cuff leakage. C: NPO status is extreme and unnecessary without confirmation of aspiration risk. D: Swallow study is for assessing swallowing function, not related to cuff pressure.