ATI RN
ATI Med Surg Final Exam Nsg 232 Questions
Extract:
Question 1 of 5
A nurse is assessing a client with a chest tube and observes the water level in the water seal bubbling as the client breathes. How should the nurse best respond to this assessment finding?
Correct Answer: D
Rationale: Bubbling in the water seal during breathing indicates normal air movement in the pleural space.
Question 2 of 5
A nurse is caring for a client diagnosed with HIV and receiving antiretroviral therapy. The nurse should assess for which potential adverse effects of long-term antiretroviral therapy?
Correct Answer: A
Rationale: GI intolerance and neutropenia are common adverse effects of long-term antiretroviral therapy.
Question 3 of 5
A nurse is caring for a client diagnosed with advanced COPD. The nurse should anticipate which assessment findings when caring for clients with advanced COPD? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Pursed-lip breathing, clubbing of fingers, and dyspnea at rest are characteristic of advanced COPD. Elevated temperature and concave chest are not typical.
Question 4 of 5
A nurse is planning care for a client玸 with acute kidney injury. The nurse should recognize that which assessment data best supports the nursing diagnosis of Excess Fluid Volume?
Correct Answer: B
Rationale: Pitting edema is a direct sign of fluid overload, supporting the diagnosis of Excess Fluid Volume.
Question 5 of 5
A nurse is teaching a client diagnosed with acute renal failure about how the disease progresses. The nurse should recognize that the teaching is effective when the client can accurately identify which phases of renal disease progression? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Acute renal failure progresses through initiation, oliguric, diuretic, and recovery phases.