ATI RN
ATI n232 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client diagnosed with pneumonia and assesses labored breathing and copious tracheobronchial secretions. What priority action should the nurse encourage with the client?
Correct Answer: D
Rationale: Incentive spirometry promotes lung expansion and secretion clearance, critical for pneumonia. A. Fluids thin secretions. B. Pursed-lip breathing is for COPD. C. High Fowler's aids breathing.
Question 2 of 5
A nurse is reviewing event reports submitted during the previous month. The nurse should identify which of the following as a problem that should be reported to the risk manager?
Correct Answer: D
Rationale: Omitting witness names hinders investigations. A, B, C are standard practices.
Question 3 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.
Question 4 of 5
A nurse is preparing to administer albuterol syrup 1.6 mg PO tid. Available is albuterol 2 mg/5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 4 mL
Rationale: Desired dose: 1.6 mg. Concentration: 2 mg/5 mL = 0.4 mg/mL. Volume = 1.6 / 0.4 = 4 mL.
Question 5 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.