ATI RN
ATI n269 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has pneumonia. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Tachypnea, or rapid breathing, is a common finding in pneumonia due to hypoxia and the body's attempt to compensate for impaired gas exchange in the lungs. It is one of the hallmark signs of pneumonia.
Question 2 of 5
A nurse is caring for a client who just had a flexible bronchoscopy. Which of the following nursing actions is appropriate?
Correct Answer: B
Rationale: Withhold food and liquids until the client's gag reflex returns: This is the correct action. Following a bronchoscopy, the local anesthetic used can suppress the gag reflex. It is crucial to wait until the gag reflex returns to prevent aspiration when the client eats or drinks.
Question 3 of 5
A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Hyperpigmentation is a characteristic sign of Addison's disease. Due to insufficient cortisol production in the adrenal glands, there is an increase in melanocyte-stimulating hormone (MSH), which leads to darkening of the skin, particularly in areas exposed to friction like elbows, knees, and the face.
Question 4 of 5
A nurse is assessing a client to identify risk factors for disease. Which of the following findings is a risk factor for metabolic syndrome?
Correct Answer: C
Rationale: A large waist size is a significant risk factor for metabolic syndrome, as it is one of the key components in diagnosing the syndrome. Abdominal obesity (visceral fat) is strongly associated with insulin resistance, high cholesterol, and increased cardiovascular risk.
Question 5 of 5
A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?
Correct Answer: C
Rationale: Mold is a common environmental allergen and asthma trigger. It can exacerbate asthma symptoms and lead to allergic reactions, so it is important for clients with asthma to avoid mold exposure.