ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A client with heart failure reports dyspnea. Which action should the nurse take first?
Correct Answer: C
Rationale: Checking oxygen saturation assesses the client's respiratory status and guides further interventions.
Question 2 of 5
Which of the following could the nurse expect to observe in an older adult client who has a pneumothorax?
Correct Answer: B
Rationale: A pneumothorax causes lung collapse, impairing gas exchange and leading to lower oxygen saturations (93% to 94%). Higher saturations, lower energy expenditure, and increased lung capacity are not expected due to compromised lung function.
Question 3 of 5
A nurse is providing discharge instructions to a client who has epilepsy. Which of the following instructions should be included in the nurse's teaching? (Select All that Apply.)
Correct Answer: A,C,D
Rationale: Taking small bites, eating slightly forward, and chewing thoroughly reduce choking and aspiration risks during seizures. Thickened liquids are not necessary unless dysphagia is present, conversations are not directly related, and fiber is beneficial for overall health.
Question 4 of 5
A nurse is caring for a client admitted with pneumonia caused by Streptococcus pneumoniae. Which of the following types of pneumonia is Streptococcus pneumoniae?
Correct Answer: A
Rationale: Streptococcus pneumoniae is a common bacterial pathogen that causes typical pneumonia, also known as community-acquired pneumonia (CAP). Typical pneumonia is characterized by an acute onset of symptoms such as fever, productive cough with purulent sputum, chest pain, and difficulty breathing.
Question 5 of 5
Which of the following statements are true regarding physiological changes of the respiratory system in the aging adult client?
Correct Answer: D
Rationale: Physiological changes (
D) like reduced lung elasticity and muscle strength mimic airway obstruction. Dyspnea (
A) is common in conditions like COPD or heart failure. Aging often increases medication sensitivity (
B) due to altered metabolism. Adverse reactions (
C) are higher in older adults due to polypharmacy and sensitivity.