ATI RN
ATI Med Surg Woolery Final Exam Questions
Extract:
Question 1 of 5
A client with chronic obstructive pulmonary disease (COPD) is experiencing tachypnea and dyspnea. The nurse should plan to implement which of the following interventions to reduce bronchiolar collapse and air-trapping?
Correct Answer: A
Rationale: Pursed-lip breathing creates back pressure to prevent bronchiolar collapse and reduce air-trapping.
Question 2 of 5
A nurse is caring for a client who has a diagnosis of myasthenia gravis. When creating the nutritional plan of care for the client, which of the following foods would be appropriate to include?
Correct Answer: C
Rationale: Macaroni and cheese is soft and requires less chewing, suitable for myasthenia gravis patients with jaw muscle fatigue.
Question 3 of 5
A client with age-related macular degeneration (AMD) is undergoing photodynamic therapy with the medication Verteporfin. What should the nurse include in the discharge teaching for this client?
Correct Answer: D
Rationale: Verteporfin is photosensitizing, requiring avoidance of sunlight to prevent severe reactions.
Extract:
Nurses' Notes
0600:
Client was brought to the emergency department by her husband for complaints of abdominal pain 8/10 in all quadrants. Client is alert and oriented x4, states she has had a fever, nausea, and vomiting "off and on" for 2 days. Existing medical conditions include insulin-dependent type-2 diabetes, hypertension, and end-stage renal disease. Abdomen assessed, found to be rigid and distended. Rebound tenderness noted on palpation. Bowel sounds auscultated, hyperactive in all quadrants. Catheter present in abdominal wall, currently clamped. Client states "I do my own dialysis every day. Yesterday the effluent was cloudy. I haven't done an exchange yet today." STAT BMP and CBC have resulted. Physician notified. Awaiting orders.
Vital Signs
0600:
Temperature: 39.1°C (102.3°F)
Pulse rate: 110/min
Respiratory rate: 24/min
Blood pressure: 123/70 mmHg
Oxygen saturation: 95% room air
Laboratory results
0600:
BMP:
Creatinine: 3.8 mg/dL
Glucose: 180 mg/dL
Potassium: 5.4 mEq/L
Sodium: 134 mEq/L
BUN: 68 mg/dL CBC:
WBC: 15,000/mm3
RBC: 4.3 x 10/μL
Platelets: 250,000/μL
Hemoglobin: 12 g/dL
Hematocrit: 39%
Question 4 of 5
The client is experiencing...... caused by.....
Correct Answer: A,B
Rationale: Peritonitis is indicated by abdominal pain, fever, and cloudy dialysis effluent, caused by peritoneal dialysis.
Extract:
Vital signs
0900:
Temperature 36.7° C (98° F)
Heart rate 119/min
Respiratory rate 26/min
Blood pressure 149/95 mm Hg
Oxygen saturation 92% on room air
Nurses' Notes
0900:
Client is a 45-year-old male brought to ED by family member due to new- onset chest pain and shortness of breath. Client describes pain as 10/10, substernal, and radiating to the left scapula.
Oriented to person, place, time, and situation.
Skin pale, cool, and diaphoretic, peripheral pulses weak.
$152 heard upon auscultation. Lungs clear bilaterally.
Client denies medical history and states no home medications.
Diagnostic results
0915:
12 Lead EKG:
ST-Elevation in leads V2-V6, rate 119 Point of Care Troponin:
1,40 ng/mL
Question 5 of 5
Select the 3 orders that the nurse should expect for this client.
Correct Answer: A,E,F
Rationale: Cardiac catheterization, supplemental oxygen, and nitroglycerin are standard for acute myocardial infarction management.