ATI RN
ATI RN Targeted Medical Surgical Respiratory Questions
Extract:
Question 1 of 5
A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions is the priority for the nurse to take?
Correct Answer: B
Rationale: A pulmonary embolism impairs gas exchange, causing hypoxemia. Oxygen therapy is the priority to improve oxygenation and stabilize the client. Other interventions follow based on further assessment.
Question 2 of 5
A nurse is assisting with planning interventions for an influenza outbreak in a long term care facility. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Restricting visitation reduces the risk of influenza transmission from external sources. Airborne precautions are not needed for influenza, antibiotics are ineffective, and symptomatic staff should stay home.
Question 3 of 5
A patient is admitted to the hospital with SOB. The nurse notices increasing confusion and combativeness during the past hour. Which of the following actions is appropriate first?
Correct Answer: A
Rationale: Assessing the patient and oxygen delivery ensures hypoxemia, a likely cause of confusion and combativeness, is addressed first. Other actions may follow based on findings.
Question 4 of 5
A nurse is collecting data from a client who has emphysema. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Dyspnea, barrel chest, and shallow respirations are hallmark symptoms of emphysema due to reduced lung elasticity, air trapping, and hyperinflation. Clubbing of the fingers is more associated with chronic hypoxia in conditions like lung cancer or cystic fibrosis, not typically emphysema. Bradycardia is not expected; tachycardia may occur due to compensatory mechanisms for low oxygen levels.
Question 5 of 5
Order: Diphenhydramine 25mg Q4H Available: Diphenhydramine 12.5mg/5mL How much will you administer?
Correct Answer: 10 mL
Rationale:
To administer 25 mg of diphenhydramine (12.5 mg/5 mL), calculate: 25 mg ÷ 2.5 mg/mL = 10 mL. Thus, 10 mL is the correct dose.