ATI RN
ATI n232 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply.)
Correct Answer: A,C,D
Rationale: A. Clubbing results from chronic hypoxia. C. Barrel chest occurs from lung overinflation. D. Dyspnea is common due to reduced lung elasticity. B. Tachycardia, not bradycardia, is typical. E. Breathing is shallow, not deep.
Question 2 of 5
A nurse is caring for a client immediately following endotracheal intubation. The nurse should assess the client for complications by performing which of the following priority action?
Correct Answer: A
Rationale: Auscultating lungs confirms tube placement and ventilation. B, C, D are secondary to ensuring airway patency.
Question 3 of 5
Which of the following are considered barriers to appropriate communication with clients? Select all that apply.
Correct Answer: A,C,E
Rationale: A. Cultural incompetence hinders understanding. C. Implicit bias causes disparities. E. Lack of diversity limits cultural familiarity. B. Training improves communication. D. High health literacy aids interaction.
Question 4 of 5
A nurse is reviewing the arterial blood gas (ABG) result for a client diagnosed with progressive chronic obstructive pulmonary disease (COPD). The nurse should expect which of the following ABG findings for a client diagnosed with progressive COPD?
Correct Answer: B
Rationale: Progressive COPD shows respiratory acidosis (low pH, high PaCO2) with compensatory high HCO3. A. Indicates alkalosis. C, D are normal or mild.
Question 5 of 5
A nurse is caring for a client diagnosed with adult respiratory distress syndrome (ARDS) and being treated with positive end expiratory pressure (PEEP). The nurse should understand that PEEP will benefit the client in what manner?
Correct Answer: D
Rationale: PEEP prevents alveolar collapse, improving oxygenation in ARDS. A. PEEP aids oxygenation, not weaning. B. It doesn't reduce trapped oxygen. C. It suppresses spontaneous breathing.