ATI RN
ATI SP 250 Exam 3 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority finding to report to the provider?
Correct Answer: A
Rationale: Difficulty swallowing is the priority finding to report to the provider.
Rationale: This is because difficulty swallowing can indicate airway edema, which can compromise breathing and oxygenation. The nurse should monitor the client's respiratory status and administer oxygen as prescribed. The other findings are also important, but not as urgent as airway obstruction.
Question 2 of 5
A nurse is caring for a client who is receiving mechanical ventilation and has an ideal weight of 60 kg. The nurse should expect the tidal volume to be set at which of the following?
Correct Answer: B
Rationale: This is because the recommended tidal volume for mechanical ventilation is 6 to 8 mL/kg of ideal body weight.
Therefore, for a client who has an ideal weight of 60 kg, the tidal volume should be between 360 and 480 mL.
Extract:
Diagnostic Results
January:
• Laboratory: CD4 cell count 200 cells/mm³ (Normal range: 600-1500 cells/mm³)
June:
• Laboratory: CD4 cell count 90 cells/mm³ (Normal range: 600-1500 cells/mm³)
• Chest x-ray: Bilateral white infiltrates consistent with pneumonia
Question 3 of 5
A nurse in a community health clinic is caring for a client who has a history of HIV. For each of the following assessment findings for the client, identify if the finding is consistent with HIV stage I or HIV stage III (AIDS). Each finding may support more than one disease process.
| Options | HIV stage I | HIV stage III |
|---|---|---|
| CD4 cell count 200 cells/mm3 (600-1500 cells/mm3) | ||
| Weight changes | ||
| Chest x-ray showing bilateral white infiltrates consistent with pneumonia | ||
| Skin condition | ||
| Latest CD4 cell count |
Correct Answer: A,C,E
Rationale: CD4 cell count 200 cells/mm³ is consistent with HIV stage II or III, as it indicates significant immunosuppression. Chest x-ray showing bilateral white infiltrates consistent with pneumonia is indicative of HIV stage III (AIDS), as opportunistic infections like pneumonia are common. Latest CD4 cell count (90 cells/mm³) is consistent with HIV stage III (AIDS), as it is below 200 cells/mm³, a threshold for AIDS diagnosis.
Extract:
Question 4 of 5
A nurse is providing teaching to a client about preventing skin cancer. Which of the following client statements indicates a need for further teaching?
Correct Answer: A
Rationale: Eating a high fiber diet has not been proven to reduce the risk for developing skin cancer. Skin cancer is mainly caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources, such as tanning booths.
Question 5 of 5
A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns?
Correct Answer: D
Rationale: This is because burns to the face, neck, and upper extremities can compromise the airway, circulation, and mobility of the client. The nurse should monitor for signs of respiratory distress, infection, and contractures in these areas.