ATI RN
ATI Med Surg 2 Respiratory exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention?
Correct Answer: A
Rationale: Withholding oral fluids and food is the priority because it reduces pancreatic stimulation and decreases the secretion of pancreatic enzymes, preventing further autodigestion and inflammation.
Question 2 of 5
A nurse is assessing a client who has an infection. Which of the following findings is a manifestation of sepsis? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Altered mental status, elevated WBC count, and vomiting are manifestations of sepsis due to systemic inflammation and infection response. Hypertension and hypoglycemia are not typical.
Question 3 of 5
A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Implementing a low-sodium diet helps reduce fluid retention and ascites. Furosemide is a diuretic that reduces fluid overload. Measuring abdominal girth monitors ascites progression. Warfarin increases bleeding risk, and weight lifting can exacerbate varices.
Question 4 of 5
A nurse is caring for a client who has diabetic ketoacidosis and hypoxia. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Obtaining a prescription for supplemental oxygen is the first action as hypoxia must be corrected immediately to ensure adequate tissue oxygenation.
Question 5 of 5
A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: Movement of the trachea towards the unaffected side is a sign of tension pneumothorax, which requires immediate intervention as it can compromise respiratory function.