ATI RN
ATI n232 Med Surg Exam Questions
Extract:
Question 1 of 5
A Drain has been diagnosed in the Emergency Department with acute respiratory distress syndrome (ARDS). Which of the following actions should a nurse perform first?
Correct Answer: A
Rationale: Intubation ensures ventilation in ARDS-related hypoxemia. B, C, D are secondary.
Question 2 of 5
A nurse is learning about the Institute of Medicine (IOM) [now National Academy of Medicine (NAM)] characteristics of Healthcare Quality. The nurse should recognize which of the following best describes the characteristics of the efficiency domain in Healthcare Quality initiatives.
Correct Answer: A
Rationale: Efficiency minimizes waste and optimizes resources. A. Using only necessary supplies reduces waste. B. Reducing wait times is timeliness. C. Interpreters promote equity. D. CAUTI bundles enhance safety.
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
Day 1, 1530:
Client appears restless. SaO2 92% on 40% humidified oxygen via tracheostomy collar. Lung fields with scattered rhonchi throughout... Tracheostomy suctioned for thin clear secretions.
Day 1, 1545:
Client appears less anxious. SaO2 98% on 40% humidified oxygen via tracheostomy collar. Breath sounds clear throughout.
Day 3, 1530:
Client appears restless. Buccal mucosa dusky. SaO2 88% on 40% humidified oxygen via tracheostomy collar. Lung fields with coarse crackles, diminished at right lower lobe. Tracheostomy suctioned for thick yellow secretions.
Day 3, 1545:
Client continues to appear restless. SaO2 94% on 40% humidified oxygen via tracheostomy collar. Breath sounds with intermittent crackles, diminished at right lower lobe.
Question 3 of 5
The client has manifestations of __ and __
Correct Answer: A,B
Rationale: Pneumonia: Right lower lobe opacity, yellow secretions, crackles, and fever indicate infection. Hypoxia: SaO2 88% and dusky mucosa show inadequate oxygenation. Angina and hypertension are not supported by findings.
Extract:
Question 4 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: D
Rationale: Root cause analysis identifies error patterns, guiding targeted interventions. A, B, C are premature without understanding causes.
Question 5 of 5
A nurse is caring for a client who reports experiencing alteration in sense of smell following surgery for a total laryngectomy. The nurse should address the client's concern through which of the following response?
Correct Answer: B
Rationale: After laryngectomy, air bypasses the nose, impairing olfaction. B. This response accurately explains the cause of anosmia. A. The body cannot smell through the stoma. C. Smell loss is typically permanent without specific techniques. D. Appetite improvement does not restore smell.