ATI RN
ATI n232 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)
Correct Answer: B,C,D
Rationale: B. Severe dyspnea indicates respiratory distress. C. Headache results from hypoxia/hypercapnia. D. Decreased consciousness signals worsening gas exchange. A. Hypotension is secondary. E. Nausea is not primary.
Extract:
Physical Examination
Nurses Notes
Vital Signs
Diagnostic Results
0800:
Lung sounds diminished in the bases bilateral, no adventitious sounds noted
Bowel sounds active x 4 quadrants, abdomen soft
Capillary refill less than 2 seconds
Skin dry and intact, 1+ edema noted to legs bilaterally
Question 2 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
| Check the drainage system and tubing |
| Assess for subcutaneous emphysema |
| Obtain blood cultures |
| Administer prescribed blood products |
| Observe surgical dressing |
| Choices A. Bleeding B. Pulmonary edema C. Pneumonia D. Airleak |
| Parameter to Monitor:A. Client's ability to perform lung expansion exercises B. Chest tube drainage C. Respiratory status D. Sputum E. Blood pressure |
Correct Answer: A,B,C
Rationale: Condition: Air leak (continuous bubbling, tidaling). Actions: A. Ensure drainage system integrity. B. Detect subcutaneous emphysema. Parameters: B. Monitor drainage output. C. Assess respiratory status. Other options are irrelevant for air leak.
Extract:
Question 3 of 5
A nurse is reviewing event reports submitted during the previous month. The nurse should identify which of the following as a problem that should be reported to the risk manager?
Correct Answer: D
Rationale: Omitting witness names hinders investigations. A, B, C are standard practices.
Question 4 of 5
Nurse Jordan, a seasoned member of the team, has been openly belittled by Nurse Taylor, a newer nurse. During handoffs, Nurse Taylor makes sarcastic remarks about Nurse Jordan's decisions, saying, 'I can't believe you thought that was the right approach.' This behavior creates a tense atmosphere and affects team dynamics. What type of behavior is Nurse Taylor exhibiting in this scenario?
Correct Answer: B
Rationale: Sarcastic, belittling remarks are lateral violence, harming team dynamics. A, D are positive. C includes physical harm.
Question 5 of 5
A new graduate nurse is about to go on their first job interview. Which of the following is a good recommendation for the new graduate nurse?
Correct Answer: D
Rationale: Asking about the role and facility shows interest and fit. A. Balanced answers are better. B. Salary questions are premature. C. Placing a portfolio uninvited is assertive.