ATI RN
ATI Med Surg Final Exam Nsg 232 Questions
Extract:
Question 1 of 5
A nurse is caring for a client newly diagnosed with systemic lupus erythematosus (SLE). The nurse should recognize that which statement made by the client indicates the need for further teaching about the course and management of SLE?
Correct Answer: C
Rationale: Sun exposure can trigger SLE flare-ups, and patients should avoid excessive sun exposure.
Question 2 of 5
A nurse is caring for a client following a left lobectomy for lung cancer. The nurse should prioritize which of the following interventions to prevent atelectasis?
Correct Answer: B
Rationale: Incentive spirometry promotes deep breathing and lung expansion, preventing atelectasis post-lobectomy.
Question 3 of 5
A nurse is planning care for a client who has malnutrition due to cancer. Which of the following interventions should be included in the plan of care? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Mouth care, mental status monitoring, food diary, and extra fluids address malnutrition and its effects.
Question 4 of 5
A nurse suspects impending respiratory failure in a client diagnosed with chronic obstructive pulmonary disease (COPD). The nurse should recognize that which assessment finding supports the presence of hypoxemia?
Correct Answer: C
Rationale: A pulse oximetry reading of 90% indicates hypoxemia, particularly significant in COPD patients with compromised respiratory function.
Question 5 of 5
A nurse is providing direction to a nursing assistant who will be caring for a client with human immunodeficiency virus (HIV) and receiving azidothymidine (AZT) antiretroviral therapy. The nurse should instruct the nursing assistant to implement which of the following actions?
Correct Answer: C
Rationale: Standard precautions are sufficient for HIV patients, as the virus is not transmitted through casual contact.