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ATI Nursing 232 Med Surg Exam Questions

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Question 1 of 5

A nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD) who is being evaluated for a lung transplant. What findings should a nurse expect when performing an initial physical assessment on a client diagnosed with COPD? Select all that apply.

Correct Answer: A,B,C,D,E

Rationale:
Choice A: Oxygen use is common in COPD exacerbations.
Choice B: Clubbing indicates chronic hypoxia.
Choice C: Pursed-lip breathing aids exhalation.
Choice D: Prolonged exhalation results from airway obstruction.
Choice E: Dyspnea on exertion reflects reduced lung function.

Question 2 of 5

A nurse is preparing to administer cefaclor 500 mg PO every 12 hours. If the available cefaclor oral suspension is 250 mg/5 mL, how many mL should the nurse administer per dose?

Correct Answer: 5 mL

Rationale:
Step 1: Determine cefaclor concentration: 250 mg ÷ 5 mL = 50 mg/mL.
Step 2: Calculate volume for 500 mg dose: 500 mg ÷ 50 mg/mL = 10 mL. Thus, 10 mL is the correct dose.

Question 3 of 5

A nurse is working with a colleague who frequently interrupts and dominates during patient care discussions. The nurse wants to address this behavior assertively to ensure effective teamwork. Which response by the nurse demonstrates assertive behavior?

Correct Answer: D

Rationale: This response is assertive, clearly expressing feelings and needs without blame, promoting constructive dialogue.

Question 4 of 5

A patient reports that they avoid being around sick people, however, they have experienced repeated colds over the past several weeks. A nurse should respond to the patient's concern by providing which of the following teaching?

Correct Answer: C

Rationale: The common cold virus can be spread before symptoms appear, explaining why avoiding sick people may not prevent infection, addressing the patient's concern directly.

Question 5 of 5

A clinic nurse is preparing a lesson for nursing students on the care of patients with viral pharyngitis. What information should be included in the lesson? Select all that apply.

Correct Answer: A,B,E

Rationale:
Choice A: Drooling or inability to open the mouth suggests complications like abscess.
Choice B: Prevents viral spread.
Choice E: Fluids soothe the throat and prevent dehydration.

Choices C and D are irrelevant for viral pharyngitis.

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