ATI RN
ATI Nur 175 Med Surg Exam Questions
Extract:
Question 1 of 5
A community health nurse is creating a presentation about mood disorders for a local support group. The nurse should include which of the following as a risk factor for suicide?
Correct Answer: C
Rationale: Job loss is a significant stressor that increases suicide risk.
Question 2 of 5
A nurse is reviewing the laboratory values of a client who has respiratory acidosis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Elevated PaCO2 (>45 mm Hg) is a hallmark of respiratory acidosis.
Question 3 of 5
The nurse is caring for a client being prepared for a left total knee replacement surgery. The nurse is witnessing the surgeon obtain informed consent before the procedure. Which essential components must be present to obtain informed consent? (Select all that apply)
Correct Answer: A,B,C,D,E
Rationale:
Choice A reason: Informing the client when the procedure or treatment will be done is crucial for obtaining informed consent. This information helps the client understand the timeline and schedule for the procedure, which is essential for their planning and mental preparation. Knowing the exact date and time also allows the client to arrange for any necessary assistance or support they might need before and after the procedure.
Choice B reason: The purpose of the proposed treatment or procedure must be clearly explained to the client. This information helps the client understand why the procedure is necessary and what it aims to achieve. Providing a clear rationale for the treatment ensures that the client is fully aware of the medical reasons behind the procedure, which is a fundamental aspect of informed consent.
Choice C reason: The expected outcomes of the proposed treatment or procedure should be discussed with the client. This includes both the potential benefits and the goals of the treatment. By understanding the expected outcomes, the client can make an informed decision about whether to proceed with the procedure, weighing the potential benefits against the risks and alternatives.
Choice D reason: Identifying who will perform the treatment or procedure is an essential component of informed consent. The client has the right to know the qualifications and expertise of the healthcare professional who will be performing the procedure. This information helps build trust and ensures the client feels confident in the care they will receive.
Choice E reason: An explanation of the possible risks from the treatment or procedure is necessary for obtaining informed consent. Clients must be fully informed about the potential risks and complications associated with the procedure so that they can make an educated decision about whether to proceed. This transparency is critical for respecting the client's autonomy and ensuring they are fully aware of all aspects of their care.
Question 4 of 5
The nurse provides care to a patient who is diagnosed with chronic obstructive pulmonary disease (COPD). The patient's pulse oximetry is 93% on room air with a current respiratory rate of 35 breaths per minute. The most recent chest x-ray indicates a flattened diaphragm with infiltrates. The patient is currently febrile with an increased number of white blood cells (WBCs) noted on the latest complete blood count (CBC). Which order does the nurse question for this patient based on the current data?
Correct Answer: A
Rationale: CPT may exacerbate fatigue and respiratory distress in a patient with infiltrates and tachypnea.
Question 5 of 5
A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Adjusting the flow rate without guidance can cause oxygen toxicity or hypoxia.