ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?
Correct Answer: C
Rationale: Administering a short-acting B2-agonist (SAB
A) is the priority to rapidly relieve bronchospasm and improve airflow in status asthmaticus, a life-threatening condition.
Question 2 of 5
A client had a right-sided chest tube inserted two hours ago for pneumothorax. Which action should the nurse implement if there is no fluctuation in the water seal compartment?
Correct Answer: A
Rationale: Lack of fluctuation in the water seal compartment may indicate kinks, obstructions, or lung re-expansion. The nurse should first check the chest tube system for issues before escalating or adjusting suction.
Question 3 of 5
A nurse is caring for a client who has asthma and is taking Beclomethasone. The nurse should monitor the client for which of the following adverse effects?
Correct Answer: D
Rationale: Oral candidiasis is a common adverse effect of inhaled corticosteroids like Beclomethasone due to local immune suppression in the oral mucosa. Other options are not typical side effects.
Question 4 of 5
A nurse is providing teaching to a client about manifestations of pulmonary embolism (PE). Which of the following findings should the nurse include in the teaching? (Select All that Apply.)
Correct Answer: A,B,D
Rationale: Chest pain that worsens with deep breathing (pleuritic pain), shortness of breath, and bloody sputum are hallmark symptoms of pulmonary embolism due to inflammation, reduced oxygenation, and possible pulmonary infarction. Facial weakness and difficulty speaking are more indicative of neurological conditions like stroke or myasthenia gravis and are not typical of PE.
Extract:
Medical History
Nurses Notes
Diagnostic Results
Client is admitted to the rehabilitation unit following a hip fracture 7 days ago. Client has limited mobility and requires full assistance to turn and transfer out of bed.
Question 5 of 5
The client is at risk for developing [Pulmonary embolism] and [Deep vein thrombosis].
| Diarrhea |
| Hypocalcemia |
| Pulmonary embolism |
| Deep vein thrombosis |
| Diarrhea |
| Hypocalcemia |
| Hypertension |
Correct Answer: C,D
Rationale: Limited mobility and recent hip fracture increase the risk of deep vein thrombosis, which can lead to pulmonary embolism.