ATI RN
ATI n232 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client diagnosed with lung carcinoma and scheduled for a left pneumonectomy. The nurse should prioritize which nursing Intervention in the immediate postoperative period?
Correct Answer: D
Rationale: Chest tube assessment ensures proper drainage and prevents complications like pneumothorax. A, B, C are secondary.
Question 2 of 5
A college health nurse interprets the peak expiratory flow rate for student who has asthma and finds that the student is in the yellow zone of his asthma action plan. The nurse should base her actions on which of the following information? (Select all that apply.)
Correct Answer: A,D,E
Rationale: A. Yellow zone indicates poor asthma control. D. Quick-relief inhaler alleviates symptoms. E. Peak flow 50-80% defines yellow zone. B. Second reading is unnecessary. C. Hospitalization is for red zone.
Extract:
Medical History
Vital Signs
Nurses' Notes
Client is a nonsmoker and has a history of GERD.
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Prepare to administer an antibiotic |
| Measure the client's peak airflow. |
| Plan to administer bronchodilator |
| Request a prescription for a diuretic |
| Teach the client pursed lip breathing |
Correct Answer: B,C,D
Rationale: Condition: Asthma (wheezing, chest tightness, dry cough, low SpO2). Actions: B. Measuring peak airflow assesses asthma severity and treatment response. C. Bronchodilators relax airways, relieving symptoms. Parameters: C. Oxygen saturation monitors oxygenation. B. Pulmonary function tests evaluate airway obstruction. Other options (A, D, E) are irrelevant for asthma management.
Extract:
Question 4 of 5
A Drain has been diagnosed in the Emergency Department with acute respiratory distress syndrome (ARDS). Which of the following actions should a nurse perform first?
Correct Answer: A
Rationale: Intubation ensures ventilation in ARDS-related hypoxemia. B, C, D are secondary.
Extract:
Nurses' Notes
Medication Administration Record
Client is awake and alert. Breath sounds with crackles present bilaterally at bases.
Productive cough with yellow, blood-tinged sputum
Client reports pleuritic chest pain upon inspiration.
Client reports abdominal pain, frequent liquid, foul smelling stools.
Question 5 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Place the client on contact precautions |
| Obtain a stool culture. |
| Request a prescription for an anticoagulant |
| Request a prescription for a diuretic |
| Restrict fluids |
| Condition Mostly Experiencing A. Clostridium difficile infection B. Myocardial infarction C. Pulmonary edema D. Pulmonary embolism |
| Parameter to Monitor A. Level of consciousness B. Urine output C. Calf swelling D. Potassium level E. Weight |
Correct Answer: A,B,A,E
Rationale: Condition: C. difficile (foul-smelling stools, antibiotic use). Actions: A. Contact precautions prevent spread. B. Stool culture confirms diagnosis. Parameters: A. Consciousness monitors dehydration effects. E. Weight tracks fluid loss. C, D are irrelevant.