ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has pneumonia and a prescription for oxygen therapy at 6 L/min via nasal cannula. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A humidifier prevents dryness and irritation of mucous membranes at high oxygen flow rates like 6 L/min.
Question 2 of 5
A nurse is caring for a client who has Crohn's disease and is receiving parenteral nutrition. Which of the following interventions should the nurse include in the care of this client?
Correct Answer: D
Rationale: Monitoring daily laboratory values assesses nutritional status and detects complications like electrolyte imbalances or liver dysfunction.
Question 3 of 5
A patient has a nasogastric (NG) tube following esophagectomy. Following standards of practice, which of the following postoperative instructions should the nurse question the surgeon about?
Correct Answer: C
Rationale: A temperature under 100.5°F is not typically concerning post-surgery, so notifying the physician for this is unnecessary.
Question 4 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.
Question 5 of 5
A nurse is implementing a plan of care for a client who has AIDS with recurring pneumonia. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Obtaining a sputum culture is a priority to identify the specific pathogen causing the pneumonia and guide antibiotic treatment, especially in an immunocompromised client with AIDS.