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ATI Nursing 232 Med Surg Exam Questions

Extract:


Question 1 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 2 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.

Question 3 of 5

A nurse on a quality control committee is evaluating the effectiveness of recently implemented measures aimed at reducing medication errors. Which methods should the nurse use to evaluate the success of the changes?

Correct Answer: B

Rationale: Comparing error rates before and after implementation directly measures the effectiveness of the changes.

Question 4 of 5

A nurse is caring for a client diagnosed with acute rhinosinusitis. Which of the following instructions should the nurse provide to the client? Select all that apply.

Correct Answer: A,B,C,D

Rationale:
Choice A: Warm compresses reduce inflammation.
Choice B: Antibiotics treat bacterial infection.
Choice C: Smoking irritates sinuses.
Choice D: Swimming can worsen symptoms.
Choice E is incorrect as periorbital edema indicates complications.

Question 5 of 5

A nurse is caring for a patient at risk for atelectasis. Which independent nursing measure should the nurse prioritize to prevent the development of atelectasis?

Correct Answer: C

Rationale: Incentive spirometry promotes deep breathing to prevent alveolar collapse, the primary measure to prevent atelectasis.

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