ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A client is admitted to the emergency room with an asthma attack. To decrease the client's dyspnea and anxiety, which of the following interventions will the nurse perform?
Correct Answer: D
Rationale: Staying with the client and encouraging pursed-lip breathing reduces anxiety and improves ventilation, alleviating dyspnea during an asthma attack.
Question 2 of 5
A nurse is assessing the respiratory status of a client who has suffered a fractured rib. Which observation, if made by the nurse, would not be directly related to the fractured rib?
Correct Answer: A
Rationale: Pleural effusion on the unaffected side is not directly related to a fractured rib and is likely caused by another condition, such as infection or malignancy. Shallow breathing, guarding, and localized pain are expected with rib fractures.
Question 3 of 5
A nurse is assessing a client who is 1 day postoperative following a lobectomy and has a chest tube drainage system in place. Which of the following findings by the nurse indicates a need for immediate notification?
Correct Answer: D
Rationale: Subcutaneous emphysema may indicate an air leak or improper chest tube placement, requiring immediate provider notification to prevent complications.
Question 4 of 5
A nurse is providing discharge teaching to a client who has a Plaster of Paris walking cast on his left lower leg. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Numbness or pain in the toes may indicate impaired circulation or nerve compression, requiring immediate attention. A musty odor suggests infection, ice is not typically recommended, and the cast must be kept dry.
Question 5 of 5
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and a prescription for oxygen therapy at 4L/min via nasal cannula. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Attaching a humidifier bottle to the base of the flow meter is the correct action for oxygen therapy at 4L/min. Humidification helps prevent dryness and irritation of the mucous membranes caused by prolonged oxygen therapy. Securing the oxygen tubing to the bed sheet may lead to disconnection or kinking. Removing the nasal cannula during eating can cause hypoxia. Petroleum jelly is flammable and unsafe with oxygen.