ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is applying oxygen via nasal cannula to a client diagnosed with chronic obstructive pulmonary disease (COPD). The client reports extreme shortness of breath. At what rate should the nurse set the flowmeter?
Correct Answer: B
Rationale: A flow rate of 2L per minute is appropriate for COPD to provide supplemental oxygen without suppressing the hypoxic respiratory drive.
Question 2 of 5
A nurse is assessing the respiratory status of a client who has suffered a fractured rib. Which observation, if made by the nurse, would not be directly related to the fractured rib?
Correct Answer: A
Rationale: Pleural effusion on the unaffected side is not directly related to a fractured rib and is likely caused by another condition, such as infection or malignancy. Shallow breathing, guarding, and localized pain are expected with rib fractures.
Question 3 of 5
A nurse is preparing to infuse 1 liter of 0.9% sodium chloride IV over 8 hr with a tubing set that delivers 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many drops/min?
Correct Answer: A
Rationale: Using the formula: (
Total volume in mL × Drop factor) /
Total infusion time in minutes = Drops/minute, we calculate (1000 mL × 15 gtts/mL) / 480 minutes = 31.25 gtts/minute, which rounds to 31 gtts/minute.
Question 4 of 5
A nurse is applying oxygen via nasal cannula to a client diagnosed with chronic obstructive pulmonary disease (COPD). The client reports extreme shortness of breath. At what rate should the nurse set the flowmeter?
Correct Answer: B
Rationale: A flow rate of 2L per minute is appropriate for COPD to provide supplemental oxygen without suppressing the hypoxic respiratory drive.
Question 5 of 5
During assessment of a client on the respiratory unit, the pulse oximetry monitor indicates a drop of SpO2 from 98% to 87% over four hours in a client who previously had normal range oxygen saturation level. Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: Checking the pulse oximeter probe position ensures the reading's accuracy, as faulty placement can cause false lows. This step precedes oxygen administration or further assessment.