ATI RN
ATI Nursing 232 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a living will which states Do Not Resuscitate (DNR), but whose children have decided that their parent should be a full code. The client has coded twice. The other nurses do not seem to have any issues with the situation, but the nurse feels distressed. What best describes this source of conflict?
Correct Answer: A
Rationale: The conflict arises from differing ethical views on respecting the client's DNR versus the family's wishes, creating an ethical dilemma.
Question 2 of 5
A nurse is caring for a patient who is tearful while refusing care and medications. Which of the following is the most appropriate response by the nurse?
Correct Answer: B
Rationale: This response shows empathy, acknowledges the patient's emotional state, and encourages open communication to address concerns, fostering trust and cooperation.
Question 3 of 5
A nurse is caring for a client who has a tracheostomy. Based on the Nurses Notes and Diagnostic Results, which of the following is a manifestation in the client?
Correct Answer: A
Rationale: Restlessness may indicate respiratory distress or hypoxia, a critical manifestation requiring further assessment.
Question 4 of 5
A nurse is developing a plan of care for a patient on a ventilator, to prevent ventilator-associated pneumonia. The nurse recognizes that which of the following interventions should be included? Select all that apply.
Correct Answer: A,B,D
Rationale:
Choice A: Weaning protocols reduce ventilation duration, lowering pneumonia risk.
Choice B: Oral care reduces bacterial load in the mouth.
Choice D: Prone positioning aids secretion drainage, reducing infection risk.
Choices C and E are incorrect as suctioning should be need-based.
Question 5 of 5
A patient diagnosed with a pulmonary embolism is receiving a continuous Heparin infusion. Which findings should prompt the nurse to notify the healthcare provider?
Correct Answer: A,C,D
Rationale:
Choice A: Elevated PTT indicates excessive anticoagulation.
Choice C: Hematuria suggests bleeding.
Choice D: Dual anticoagulants increase bleeding risk.
Choice B is less urgent.