ATI RN
Adult Medical Surgical ATI Questions
Question 1 of 5
When teaching a client with chronic obstructive pulmonary disease who will start using fluticasone via MDI twice daily, which instruction should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Inspect your mouth for lesions daily. This instruction is essential because fluticasone, a corticosteroid, can cause oral thrush as a side effect. By inspecting the mouth daily, the client can detect any lesions early and seek appropriate treatment. Monitoring heart rate (A) is not necessary for fluticasone use, as it does not typically affect heart rate. While it is important not to skip doses (D), the specific instruction about the morning dose is not as crucial. Avoiding the use of fluticasone for acute attacks (C) is correct, but it is not the most important instruction in this scenario.
Question 2 of 5
A client is postoperative following an intermaxillary fixation due to multiple facial fractures. Which type of equipment should be at the client's bedside?
Correct Answer: A
Rationale: The correct answer is A: Wire cutters. In postoperative intermaxillary fixation, wire cutters are essential at the bedside in case of an emergency airway obstruction or need for immediate removal of the fixation. Wire cutters allow quick access to the airway without causing harm to the client. B: NG tube is not necessary for postoperative intermaxillary fixation. C: Urinary catheter tray is not directly related to the client's airway or fixation. D: IV infusion pump is not specifically required for managing intermaxillary fixation emergencies. In summary, wire cutters are crucial for ensuring client safety and airway management in postoperative intermaxillary fixation, making it the most appropriate equipment to have at the bedside.
Question 3 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 4 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 5 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.