ATI LPN
ATI LPN UT1 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is assisting with weaning a client from the ventilator. Which of the following parts of the ABCDEF assessment tool does the weaning process represent?
Correct Answer: D
Rationale: The 'Breathing: Spontaneous Awakening Trials (SAT) and Spontaneous Breathing Trials (SBT)' directly involves the weaning process, as it includes assessing the patient's ability to breathe independently by reducing or removing sedation (SAT) and evaluating their capacity for spontaneous breathing (SBT).
Question 2 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: D
Rationale: Mold is a well-known allergen that can exacerbate asthma symptoms. Mold spores, which are often found in damp environments, can cause significant respiratory issues and should be avoided by individuals with asthma and allergies.
Question 3 of 5
A nurse is reinforcing discharge instructions for a client who has asthma and is about to start using beclomethasone MDI. For which of the following findings should the nurse instruct the client to monitor and report to the provider as an adverse effect of the medication?
Correct Answer: C
Rationale: A white coating in the mouth may indicate oral thrush, a fungal infection caused by Candida species, which is a known adverse effect of inhaled corticosteroids like beclomethasone.
Question 4 of 5
A nurse is caring for a client who has a respiratory illness that has resulted in chronic hypoxia. Which of these conditions can develop as a result of long-term hypoxia?
Correct Answer: A
Rationale: Chronic hypoxia leads to increased workload on the heart, which can result in cardiac enlargement or right-sided heart failure due to pulmonary hypertension.
Question 5 of 5
A charge nurse is reinforcing teaching with a newly licensed nurse about fluid shifts. The newly licensed nurse asks why sodium levels are high during dehydration. Which of the following responses should the charge nurse provide?
Correct Answer: D
Rationale: In dehydration, water loss leads to higher sodium concentration, drawing water from cells to balance osmotic pressure, elevating sodium levels.