ATI RN
ATI Nursing 232 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a patient at risk for atelectasis. Which independent nursing measure should the nurse prioritize to prevent the development of atelectasis?
Correct Answer: C
Rationale: Incentive spirometry promotes deep breathing to prevent alveolar collapse, the primary measure to prevent atelectasis.
Question 2 of 5
A nurse is reviewing the arterial blood gas (ABG) results for a patient diagnosed with progressive Chronic Obstructive Pulmonary Disease (COPD). Which ABG results should the nurse expect for a patient with progressive COPD?
Correct Answer: C
Rationale: Progressive COPD causes respiratory acidosis (low pH, high PaCO2) with metabolic compensation (elevated HCO3), as seen in option C.
Question 3 of 5
A nurse is caring for a client who has a living will which states Do Not Resuscitate (DNR), but whose children have decided that their parent should be a full code. The client has coded twice. The other nurses do not seem to have any issues with the situation, but the nurse feels distressed. What best describes this source of conflict?
Correct Answer: A
Rationale: The conflict arises from differing ethical views on respecting the client's DNR versus the family's wishes, creating an ethical dilemma.
Question 4 of 5
A nurse is caring for a postoperative client experiencing shallow respirations and refusing to cough or get out of bed to the chair. The nurse should educate the client about the increased risk of which complication?
Correct Answer: D
Rationale: Shallow breathing and immobility increase the risk of atelectasis by causing alveolar collapse, a common postoperative complication.
Question 5 of 5
A nurse is preparing to discharge a patient who is post-operative following a laryngectomy. The nurse should recognize which of the following discharge teaching as the highest priority?
Correct Answer: D
Rationale: Tracheostomy care is critical for airway maintenance and complication prevention, the highest priority for discharge.