ATI RN
ATI n232 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client at risk for atelectasis. Which independent nursing measure should the nurse prioritize to prevent atelectasis development?
Correct Answer: A
Rationale: Incentive spirometry promotes lung expansion, preventing alveolar collapse. B, C, D are supportive but less direct.
Question 2 of 5
Nurse Jordan, a seasoned member of the team, has been openly belittled by Nurse Taylor, a newer nurse. During handoffs, Nurse Taylor makes sarcastic remarks about Nurse Jordan's decisions, saying, 'I can't believe you thought that was the right approach.' This behavior creates a tense atmosphere and affects team dynamics. What type of behavior is Nurse Taylor exhibiting in this scenario?
Correct Answer: B
Rationale: Sarcastic, belittling remarks are lateral violence, harming team dynamics. A, D are positive. C includes physical harm.
Question 3 of 5
A client diagnosed with a pulmonary embolism is placed on a continuous Heparin infusion. A nurse should notify the health care provider for which of the following findings?
Correct Answer: C
Rationale: Hematuria suggests excessive anticoagulation, requiring urgent reassessment. A. Minor bruising is expected. B. PTT is therapeutic. D. Starting Coumadin is standard.
Question 4 of 5
A nurse is caring for a client who reports experiencing alteration in sense of smell following surgery for a total laryngectomy. The nurse should address the client's concern through which of the following response?
Correct Answer: B
Rationale: After laryngectomy, air bypasses the nose, impairing olfaction. B. This response accurately explains the cause of anosmia. A. The body cannot smell through the stoma. C. Smell loss is typically permanent without specific techniques. D. Appetite improvement does not restore smell.
Extract:
Physical Examination
Nurses Notes
Vital Signs
Diagnostic Results
0800:
Lung sounds diminished in the bases bilateral, no adventitious sounds noted
Bowel sounds active x 4 quadrants, abdomen soft
Capillary refill less than 2 seconds
Skin dry and intact, 1+ edema noted to legs bilaterally
Question 5 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
| Check the drainage system and tubing |
| Assess for subcutaneous emphysema |
| Obtain blood cultures |
| Administer prescribed blood products |
| Observe surgical dressing |
| Choices A. Bleeding B. Pulmonary edema C. Pneumonia D. Airleak |
| Parameter to Monitor:A. Client's ability to perform lung expansion exercises B. Chest tube drainage C. Respiratory status D. Sputum E. Blood pressure |
Correct Answer: A,B,C
Rationale: Condition: Air leak (continuous bubbling, tidaling). Actions: A. Ensure drainage system integrity. B. Detect subcutaneous emphysema. Parameters: B. Monitor drainage output. C. Assess respiratory status. Other options are irrelevant for air leak.