ATI RN
Free Medical Surgical Certification Practice Questions Questions
Question 1 of 9
Which category of complementary and alternative medicine involves healing methods focusing on the body’s structures and systems?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 2 of 9
When assessing a client with pneumonia, which clinical manifestation should the nurse expect to find?
Correct Answer: C
Rationale: The correct answer is C: Dullness on percussion. In pneumonia, the affected lung tissue becomes consolidated, leading to dullness on percussion due to decreased air movement. The rationale behind this is that consolidation causes the air-filled lung tissue to become filled with fluid and inflammatory cells, impairing normal sound transmission upon percussion. Incorrect choices: A: Fremitus - Increased tactile fremitus is typically found in pneumonia due to the denser lung tissue, making this choice incorrect. B: Hyperresonance - Hyperresonance is commonly found in conditions like emphysema with increased lung air volume, not in pneumonia. D: Decreased tactile fremitus - This is contradictory as pneumonia usually presents with increased tactile fremitus due to the consolidated lung tissue.
Question 3 of 9
What controls the cyclic changes between waking and sleep?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 9
A patient with lung cancer develops syndrome of inappropriate antidiuretic hormone secretion (SIADH). After reporting symptoms of weight gain, weakness, and nausea and vomiting to the physician, you would anticipate which initial order for the treatment of this patient?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 9
You are reviewing lab findings on an 88-year-old patient and note that her vitamin B12 level is low. A decrease in B12 among older adults frequently results in:
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 6 of 9
A client with asthma is assessed by a nurse and presents with bilateral wheezing, decreased pulse oxygen saturation, and suprasternal retraction on inhalation. Which actions should the nurse take? (Select all that apply)
Correct Answer: C
Rationale: Step-by-step rationale for choice C (Administer oxygen to maintain saturations greater than 94%): 1. Oxygen is crucial in managing asthma exacerbations to improve oxygen saturation levels and prevent hypoxemia. 2. Decreased pulse oxygen saturation indicates hypoxemia, which can lead to serious complications. 3. Maintaining saturations greater than 94% ensures adequate oxygenation of tissues and organs. 4. Administering oxygen promptly can help alleviate respiratory distress and improve the client's condition. Summary of why other choices are incorrect: - Choice A (Administer albuterol inhaler): While albuterol is a common medication for asthma, oxygen therapy is the priority in this scenario to address hypoxemia. - Choice B (Assess for tracheal deviation): Tracheal deviation is not typically associated with asthma exacerbations and is not the most urgent action needed in this situation. - Choice D (Perform peak expiratory flow measurements): Peak expiratory flow
Question 7 of 9
Which of the following should be immediately reported to the physician?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 8 of 9
A patient's family does not know the patient's end-of-life care preferences, but assumes that they know what is best for the patient under the circumstances. This assumption reflects
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 9 of 9
A client is prescribed prednisone for asthma management. Which statement by the client indicates a need for further teaching?
Correct Answer: D
Rationale: The correct answer is D because stopping prednisone abruptly can lead to adrenal insufficiency due to the suppression of the body's natural cortisol production. The client should never stop taking prednisone suddenly without consulting the healthcare provider. Choice A is correct because prednisone is often used as a daily preventive medication for asthma. Choice B is correct as prednisone can lower the immune system, making the client more susceptible to infections. Choice C is incorrect because prednisone is usually taken with food to minimize stomach upset.