ATI RN
ATI Med Surg Final Exam Nsg 232 Questions
Extract:
Question 1 of 5
A nurse is caring for a client on a ventilator. The nurse should include which of the following interventions in the plan of care to prevent ventilator associated pneumonia? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Elevating the bed, hand hygiene, and mouth care reduce the risk of ventilator-associated pneumonia.
Question 2 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.
Question 3 of 5
A client diagnosed with End Stage Renal Disease (ESRD) has a potassium level of 6.8 mEq/L. Which of the following priority actions should the nurse implement?
Correct Answer: C
Rationale: Checking blood pressure assesses cardiovascular status, as hyperkalemia can cause life-threatening arrhythmias.
Question 4 of 5
A nurse is preparing a lecture about cancer prevention strategies for clients seeking to engage in health promotion. The nurse should include which of the following risk factors for the development of laryngeal cancer? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Chewing tobacco, secondhand smoke, and occupational chemical exposure (e.g., painting) are risk factors for laryngeal cancer.
Question 5 of 5
A nurse is caring for a client admitted with a diagnosis of acute kidney injury. The client asks, 'Are my kidneys failing and will I need a kidney transplant?' The nurse should respond to the client with which of the following statements?
Correct Answer: A
Rationale: This response acknowledges the client's concerns and facilitates further discussion with the provider, ensuring accurate information.