ATI RN
Medical Surgical Nursing Practice Questions Questions
Question 1 of 9
A client with acute respiratory distress syndrome (ARDS) requires care planning. Which of the following interventions should be included in the plan?
Correct Answer: D
Rationale: The correct answer is D, placing the client in a prone position. This intervention optimizes oxygenation by improving ventilation-perfusion matching in ARDS. When the client is in a prone position, there is better distribution of ventilation to the dorsal lung regions, reducing the risk of ventilator-induced lung injury. Choice A is incorrect because low-flow oxygen may not be sufficient to meet the oxygen demands of a client with ARDS. Choice B is incorrect because excessive oral intake can lead to fluid overload in ARDS. Choice C is incorrect because high-protein and high-carbohydrate foods may be difficult for the client to tolerate and can contribute to increased carbon dioxide production.
Question 2 of 9
Why would you give Mrs. West atropine sulfate as a preoperative medication primarily?
Correct Answer: D
Rationale: Atropine reduces respiratory and salivary secretions, preventing aspiration during surgery.
Question 3 of 9
What sign would you expect to find when assessing Mr. Stout with chronic bronchitis?
Correct Answer: B
Rationale: Chronic cough is a hallmark symptom of chronic bronchitis.
Question 4 of 9
During an ophthalmic assessment, which of the following is the nurse expected to observe carefully?
Correct Answer: C
Rationale: Pupil responses are critical in assessing neurological and ocular health. They provide important clues about potential disorders.
Question 5 of 9
What condition should the nurse anticipate that might occur during epidural and spinal anesthesia?
Correct Answer: B
Rationale: Epidural and spinal anesthesia commonly cause hypotension and bradycardia due to sympathetic blockade.
Question 6 of 9
The nurse is caring for a client with end stage renal disease. What action should the nurse take to assess for patency in a fistula used for hemodialysis?
Correct Answer: C
Rationale: A thrill confirms blood flow through the fistula.
Question 7 of 9
Prior to performing percussion, vibration, and postural drainage on an adolescent client with pneumonia, which of the following nursing actions should the nurse complete first?
Correct Answer: A
Rationale: The correct answer is A: Auscultate lung fields. Before performing percussion, vibration, and postural drainage on a client with pneumonia, it is essential to assess the current condition of the lungs through auscultation. This step provides valuable information about the areas of congestion, lung sounds, and overall respiratory status. By auscultating first, the nurse can determine the appropriate areas to target and assess the effectiveness of the interventions. Assessing pulse and respirations (B) is important but does not directly guide the specific interventions needed for pneumonia. Assessing the characteristics of the sputum (C) is relevant but not as crucial as directly assessing the lung fields. Instructing the client to exhale with pursed lips (D) is not a priority before assessing the lung fields.
Question 8 of 9
Which of the following is the priority nursing diagnosis?
Correct Answer: A
Rationale: Cat bites carry a high risk of infection due to the bacteria present in their mouths.
Question 9 of 9
Which standardized nursing terminologies specifically relate to the steps of the nursing process (select all that apply)?
Correct Answer: B
Rationale: NOC, NIC, and NANDA International directly correspond to the steps of the nursing process: outcomes, interventions, and diagnoses.