ATI RN
ATI SP 250 Exam 3 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving positive-pressure mechanical ventilation. Which of the following interventions should the nurse implement to prevent complications?
Correct Answer: A,C,D
Rationale: These interventions can help prevent complications such as stress ulcers, ventilator-associated pneumonia, and aspiration. Pantoprazole reduces gastric acid secretion and protects the mucosa from erosion. Verifying the ventilator settings ensures that the client is receiving adequate oxygenation and ventilation according to their needs and goals. Elevating the head of the bed reduces the risk of aspiration and improves lung expansion.
Question 2 of 5
A nurse is assessing a client who has viral rhinitis and a history of herpes simplex virus type 1 (HSV-1) lesions. The nurse should assess which of the following areas of the body for the recurrence of HSV-1 lesions?
Correct Answer: C
Rationale: This is because HSV-1 typically causes oral herpes, which manifests as cold sores or fever blisters around the mouth or lips.
Question 3 of 5
A nurse is assessing a client who has basal cell carcinoma on her nose. The nurse should expect which of the following findings?
Correct Answer: B
Rationale: Basal cell carcinoma is the most common type of skin cancer and usually occurs on sun-exposed areas of the skin. It is slow-growing and rarely metastasizes. It appears as a small, translucent papule with rolled borders that may ulcerate and bleed.
Question 4 of 5
A nurse is assessing a client who has pulmonary tuberculosis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: This is because pulmonary tuberculosis causes inflammation and damage to the lungs, which reduces oxygen exchange and leads to fatigue and weakness.
Question 5 of 5
A nurse in a clinic is collecting a history from a client who reports that a member of his family just received a diagnosis of pulmonary tuberculosis. The nurse should expect that the provider will prescribe which of the following diagnostic tests first?
Correct Answer: A
Rationale: This is because a NAAT can detect the presence of Mycobacterium tuberculosis DNA in a sputum sample within hours, which can confirm the diagnosis and guide treatment decisions. A sputum culture for AFB can take several weeks to yield results, while a chest x-ray or a CT scan can only show suggestive findings but not confirm the diagnosis.