ATI RN
ATI n232 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD). The nurse should prioritize which precaution when administering nasal oxygen therapy to the client?
Correct Answer: C
Rationale: Low-flow oxygen (1-2 L/min) prevents CO2 narcosis in COPD clients with hypoxic drive. A. Breaks risk hypoxemia. B. Skin checks are secondary. D. Self-adjusting oxygen is dangerous.
Question 2 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.
Question 3 of 5
A new graduate nurse is about to go on their first job interview. Which of the following is a good recommendation for the new graduate nurse?
Correct Answer: D
Rationale: Asking about the role and facility shows interest and fit. A. Balanced answers are better. B. Salary questions are premature. C. Placing a portfolio uninvited is assertive.
Question 4 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 5 of 5
A nurse is caring for a client who has an acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)
Correct Answer: B,C,D
Rationale: B. Severe dyspnea indicates respiratory distress. C. Headache results from hypoxia/hypercapnia. D. Decreased consciousness signals worsening gas exchange. A. Hypotension is secondary. E. Nausea is not primary.