ATI RN
ATI n232 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client receiving mechanical ventilation. The nurse should prioritize which action associated with neuromuscular blockade use?
Correct Answer: C
Rationale: Passive ROM prevents contractures in paralyzed clients. A, B are routine. D is contraindicated due to paralysis.
Question 2 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 3 of 5
A nurse is reviewing arterial blood gas results for a client diagnosed with chronic obstructive pulmonary disease (COPD). The nurse should expect which abnormal finding?
Correct Answer: C
Rationale: COPD causes CO2 retention due to impaired ventilation, leading to hypercapnia (increased PaCO2) and respiratory acidosis. A. Hypoxemia, not increased oxygen, is typical. B. pH is usually low or normal due to acidosis, not elevated. D. Alveolar damage is structural, not an ABG finding.
Question 4 of 5
A nurse is reviewing the arterial blood gas (ABG) result for a client diagnosed with progressive chronic obstructive pulmonary disease (COPD). The nurse should expect which of the following ABG findings for a client diagnosed with progressive COPD?
Correct Answer: B
Rationale: Progressive COPD shows respiratory acidosis (low pH, high PaCO2) with compensatory high HCO3. A. Indicates alkalosis. C, D are normal or mild.
Extract:
Medical History
Nurses' Notes
Vital Signs
Diagnostic Results
Day 1:
Client has a history of emphysema and reports smoking 21 packs of cigarettes per year.
Question 5 of 5
For each potential nursing action, click to specify if the action is essential, nonessential, or contraindicated for the client.
| Options | Essential | Nonessential | Contraindicated |
|---|---|---|---|
| Initiate a weight-based continuous heparin infusion | |||
| Prepare client for a chest tube insertion | |||
| Administer an analgesic | |||
| Insert an indwelling urinary catheter | |||
| Initiate supplemental oxygen |
Correct Answer: B,C,E
Rationale: Condition: Pneumothorax. B. Chest tube is essential for lung re-expansion. C. Analgesic manages pain. E. Oxygen addresses hypoxia. A. Heparin is contraindicated without thromboembolism. D. Catheter is nonessential.