ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and a prescription for oxygen therapy at 4L/min via nasal cannula. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Attaching a humidifier bottle to the base of the flow meter is the correct action for oxygen therapy at 4L/min. Humidification helps prevent dryness and irritation of the mucous membranes caused by prolonged oxygen therapy. Securing the oxygen tubing to the bed sheet may lead to disconnection or kinking. Removing the nasal cannula during eating can cause hypoxia. Petroleum jelly is flammable and unsafe with oxygen.
Question 2 of 5
A nurse is providing discharge teaching to a client who has a Plaster of Paris walking cast on his left lower leg. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Numbness or pain in the toes may indicate impaired circulation or nerve compression, requiring immediate attention. A musty odor suggests infection, ice is not typically recommended, and the cast must be kept dry.
Question 3 of 5
A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?
Correct Answer: C
Rationale: Administering a short-acting B2-agonist (SAB
A) is the priority to rapidly relieve bronchospasm and improve airflow in status asthmaticus, a life-threatening condition.
Extract:
Medical History
Nurses Notes
Diagnostic Results
Client is admitted to the rehabilitation unit following a hip fracture 7 days ago. Client has limited mobility and requires full assistance to turn and transfer out of bed.
Question 4 of 5
The client is at risk for developing [Pulmonary embolism] and [Deep vein thrombosis].
| Diarrhea |
| Hypocalcemia |
| Pulmonary embolism |
| Deep vein thrombosis |
| Diarrhea |
| Hypocalcemia |
| Hypertension |
Correct Answer: C,D
Rationale: Limited mobility and recent hip fracture increase the risk of deep vein thrombosis, which can lead to pulmonary embolism.
Extract:
Question 5 of 5
A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?
Correct Answer: B
Rationale: Administering oxygen therapy is the priority to address hypoxemia caused by pulmonary embolism, improving tissue oxygenation while other interventions are initiated.