ATI RN
Adult Medical Surgical ATI Questions
Question 1 of 5
A client with chronic obstructive pulmonary disease is receiving dietary teaching from a nurse. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Limit fluid intake with meals. This instruction is important for a client with COPD because excessive fluid intake during meals can lead to increased stomach distention, which can worsen breathing difficulties. By limiting fluid intake with meals, the client can reduce the risk of feeling bloated and experiencing shortness of breath. A: Eating 3 balanced meals each day is generally a good recommendation, but it does not specifically address the needs of a client with COPD. C: Although reducing sodium intake can be beneficial for managing COPD, it is not as directly related to dietary considerations during meals. D: Taking a bronchodilator 1 hour before eating is not a dietary instruction and does not address the issue of fluid intake during meals.
Question 2 of 5
A client in the late stage of inhalation anthrax requires a plan of care. What is appropriate to include in the plan of care?
Correct Answer: A
Rationale: Step 1: Inhalation anthrax causes severe respiratory distress. Step 2: Providing respiratory support helps maintain oxygenation. Step 3: Oxygen therapy or mechanical ventilation may be needed. Step 4: This choice directly addresses the critical needs of the client. Summary: - B: Droplet isolation is not needed as anthrax is not transmitted person-to-person. - C: Antihypertensive medications are irrelevant to inhalation anthrax treatment. - D: Ascites monitoring is not a priority in late-stage inhalation anthrax.
Question 3 of 5
During pulmonary hygiene for a client with pneumonia, a nurse positions the client on his left side in Trendelenburg position. From which of the following lung segments should the nurse expect secretions to be mobilized with the client in this position?
Correct Answer: B
Rationale: The correct answer is B: Lateral segment of the right lower lobe. In Trendelenburg position on the left side, gravity helps drain secretions from the right lung's lateral segments more effectively. The right lower lobe's lateral segment is the most dependent part of the lung in this position, facilitating secretion mobilization. Choices A, C, and D are incorrect because they do not align with the gravitational effect in Trendelenburg position on the left side, making secretion mobilization less efficient in those segments.
Question 4 of 5
When teaching a group of clients about emergency care for a snake bite, which of the following information should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Immobilize the affected extremity with a splint. This is important to prevent the spread of venom through the lymphatic system. Elevating the extremity (A) can increase the spread of venom. Applying ice (C) can constrict blood vessels, trapping venom in the area. Applying a tourniquet (D) can lead to tissue damage and worsen the condition. Immobilizing with a splint is the most effective way to limit movement and venom spread.
Question 5 of 5
A client had a total hip arthroplasty. Which of the following prescriptions should the nurse verify with the provider?
Correct Answer: C
Rationale: The correct answer is C because restricting flexion of the hip past 120° is crucial to prevent dislocation of the prosthetic hip joint post-operatively. Excessive flexion can lead to instability and potential complications. The other options are important but do not directly relate to the risk of hip dislocation. Administering enoxaparin helps prevent blood clots, using a wedge or pillow between the legs promotes proper alignment and comfort, and performing foot and calf exercises aids in preventing blood clots as well. However, restricting hip flexion is the most critical for the client's safety and optimal recovery after a total hip arthroplasty.