ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following actions should the nurse take to reduce the risk of ventilator-associated pneumonia?
Correct Answer: A
Rationale: Brushing the client's teeth with a suction toothbrush every 12 hours is a key intervention to reduce the risk of ventilator-associated pneumonia (VAP). Oral hygiene helps to decrease the accumulation of bacteria in the mouth, which could potentially be aspirated into the lungs and cause infection.
Question 2 of 5
Which of the following statements about strictureplasty is correct?
Correct Answer: D
Rationale: Strictureplasty is a surgical procedure used in Crohn's disease to widen narrowed intestinal areas, preserving intestinal function.
Question 3 of 5
A nurse is assessing a client who is receiving total parenteral nutrition (TPN) therapy via an infusion pump. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The IV tubing for TPN should be changed every 24 hours to prevent infection, as TPN is a high-risk solution for bacterial growth due to its high glucose content. Regular changes help reduce the risk of contamination and complications such as bloodstream infections.
Question 4 of 5
A patient with anorexia nervosa shows signs of malnutrition and is prescribed parenteral nutrition. If the client develops refeeding syndrome, what laboratory tests does the nurse expect the healthcare provider to order? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Monitoring serum phosphorus, calcium, potassium, and magnesium is crucial to detect electrolyte imbalances associated with refeeding syndrome.
Question 5 of 5
A nurse in the emergency department is assessing an older adult client who has community-acquired pneumonia. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Confusion is a common finding in older adults with pneumonia, often due to hypoxia, dehydration, or infection-related changes in mental status.