ATI RN
ATI SP 250 Exam 3 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: This is because SLE is an autoimmune disorder that causes inflammation and damage to various tissues and organs, including the skin. A facial rash, also known as a malar rash or butterfly rash, is one of the characteristic signs of SLE and affects about half of people with the condition.
Question 2 of 5
A nurse in an emergency department is caring for a client who has deep partial- and full thickness burns to his chest, abdomen, and upper arms. What is the nurse's priority intervention for this client during the resuscitation phase of injury?
Correct Answer: B
Rationale: This is because inhalation injury can cause airway edema, obstruction, and respiratory failure, which can be life-threatening. The nurse should monitor the client's respiratory status, administer oxygen, and prepare for intubation if needed.
Question 3 of 5
A nurse is caring for a client who is receiving mechanical ventilation and has an ideal weight of 60 kg. The nurse should expect the tidal volume to be set at which of the following?
Correct Answer: B
Rationale: This is because the recommended tidal volume for mechanical ventilation is 6 to 8 mL/kg of ideal body weight.
Therefore, for a client who has an ideal weight of 60 kg, the tidal volume should be between 360 and 480 mL.
Question 4 of 5
A nurse is providing dietary teaching for a client who has chronic obstructive pulmonary disease. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Using a bronchodilator 1 hour before eating can improve breathing and oxygenation, making it easier for the client to eat. The nurse should also advise the client to drink fluids between meals, eat small frequent meals, and increase protein intake to maintain muscle mass and immune function.
Question 5 of 5
A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns?
Correct Answer: D
Rationale: This is because burns to the face, neck, and upper extremities can compromise the airway, circulation, and mobility of the client. The nurse should monitor for signs of respiratory distress, infection, and contractures in these areas.