ATI RN
ATI Nurs 211 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is admitting a client who is having an exacerbation of his asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?
Correct Answer: A
Rationale: Propranolol is a non-selective beta-blocker that can cause bronchoconstriction, making it contraindicated for patients with asthma. It can worsen asthma symptoms by blocking beta-2 adrenergic receptors, which are important for bronchodilation. Theophylline, Prednisone, and Montelukast are appropriate for asthma management and do not require clarification.
Question 2 of 5
A patient is diagnosed with acute pharyngitis. Which clinical manifestation would the nurse expect to see in this client?
Correct Answer: A
Rationale: Red throat and fever are classic symptoms of acute pharyngitis due to inflammation.
Question 3 of 5
A professional nurse is searching for information on vaccination among children in a nursing database. The nurse enters two key words (vaccines, children) into the search interface of the database. However, the nurse is unable to retrieve many records during the search. Which of the following Boolean Operators would be appropriate for the nurse to use with the key words to expand the search?
Correct Answer: C
Rationale: The 'OR' operator expands the search by retrieving records that contain either keyword ('vaccines' or 'children'), increasing the number of results. 'Not' would exclude records containing a specific term, further reducing the results. 'And' would narrow the search by retrieving only records that contain both keywords, which may not help in this situation. 'Don't know' is not a Boolean operator.
Question 4 of 5
A nurse is part of a committee that is working to develop and implement an electronic documentation system. Which step would the committee do first during the initiating phase?
Correct Answer: C
Rationale: Completing a needs assessment is the first step to determine the specific requirements and challenges within the organization, guiding the system's development. Identifying the project goal is typically clarified after the needs assessment. Risk assessment occurs later in the planning phase. Managing scope creep is a concern during project execution, not initiation.
Question 5 of 5
Which physical assessment(s) would be pertinent to the patient with asthma? (Select All that Apply.)
Correct Answer: A,B,C,F,G
Rationale: A: Color indicates oxygenation. B: Lung sounds detect wheezing. C: Heart tones show cardiovascular response. F: Respiratory rate/effort indicates distress. G: Pulse oximetry measures oxygen saturation. H: Peak flow assesses airway obstruction. D and E are not specific to asthma.