ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 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 2 of 5
A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Addison's disease results from insufficient cortisol and aldosterone production due to adrenal gland dysfunction, often autoimmune. Other options describe unrelated conditions.
Question 3 of 5
A nurse is caring for a client who has severe burns. Which of the following actions should the nurse take when caring for a client with severe burns?
Correct Answer: B,D
Rationale: Severe burns require pain management with opioid analgesics due to excruciating pain and benzodiazepines to manage anxiety. Cooling with ice water can cause vasoconstriction and worsen tissue damage; tepid water is preferred. Systemic antibiotics are not routine unless infection is present. Laying the bed flat is inappropriate as raising the head helps maintain airway patency.
Question 4 of 5
A sexual assault nurse examiner (SANE) is a caring for a client who experienced sexual assault. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The SANE's priority is to ensure the client's safety and well-being. Legal testimony, police involvement, and evidence collection are secondary or not the nurse's role.
Question 5 of 5
The nurse is providing care for a patient that is scheduled for a balloon valvuloplasty. The nurse recalls that balloon valvuloplasty is most commonly used for which valvular heart disease?
Correct Answer: B
Rationale: Balloon valvuloplasty is commonly used to relieve mitral valve stenosis by improving valve opening, often due to rheumatic heart disease. It is not effective for regurgitation disorders or mitral valve prolapse, which require surgical interventions.