ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who develops respiratory distress, absence of breath sounds on one side, and deviation of the trachea away from the affected side. Based on these manifestations, which of the following conditions is the infant experiencing?
Correct Answer: D
Rationale: Tension pneumothorax causes respiratory distress, absent breath sounds, and tracheal deviation away from the affected side due to air accumulation in the pleural space. Flail chest, contusion, and fractured rib do not cause tracheal deviation.
Question 2 of 5
A nurse is caring for a client who has a seizure disorder. Which of the following actions should the nurse take?
Correct Answer: A,C,E
Rationale: Supplemental oxygen addresses hypoxia, turning the client to the side prevents aspiration, and timing the seizure guides treatment. Inserting a tongue depressor can cause injury, and restraining may harm the client.
Question 3 of 5
A nurse is assessing a client who has a pleural effusion. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Pleural effusion causes fluid accumulation in the pleural space, leading to dullness on percussion. Substernal retractions, crepitus, and crackles are not typical findings.
Question 4 of 5
A nurse is assessing a client who develops respiratory distress, absence of breath sounds on one side, and deviation of the trachea away from the affected side. Based on these manifestations, which of the following conditions is the infant experiencing?
Correct Answer: D
Rationale: Tension pneumothorax causes respiratory distress, absent breath sounds, and tracheal deviation away from the affected side due to air accumulation in the pleural space. Flail chest, contusion, and fractured rib do not cause tracheal deviation.
Question 5 of 5
A nurse is providing teaching to the family of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: Clients with Parkinson's disease require supervision due to increased fall and aspiration risks. Continuous television can cause overstimulation, loud speech is unnecessary, and physical activity should be encouraged to maintain mobility.