ATI RN
ATI Nursing 232 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a patient who has just returned to the unit following a bronchoscopy and requests coffee. The nurse assesses that it is safe for the patient to resume oral liquids when which of the following behaviors is demonstrated?
Correct Answer: B
Rationale: Intact cough and swallowing reflexes are essential to prevent aspiration, the primary concern post-bronchoscopy before resuming oral intake.
Question 2 of 5
A nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD) who is being evaluated for a lung transplant. What findings should a nurse expect when performing an initial physical assessment on a client diagnosed with COPD? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale:
Choice A: Oxygen use is common in COPD exacerbations.
Choice B: Clubbing indicates chronic hypoxia.
Choice C: Pursed-lip breathing aids exhalation.
Choice D: Prolonged exhalation results from airway obstruction.
Choice E: Dyspnea on exertion reflects reduced lung function.
Question 3 of 5
In the context of developing a care plan for a patient on a ventilator to prevent ventilator-associated pneumonia, which interventions should be included? Select all that apply.
Correct Answer: A,B,D
Rationale:
Choice A: Implementing ventilator-weaning protocols minimizes exposure to mechanical ventilation, a significant risk factor for ventilator-associated pneumonia.
Choice B: Frequent oral care reduces respiratory pathogens in the oral cavity, preventing their aspiration.
Choice D: Positioning in a semi-upright position (30 to 45 degrees), not prone, reduces aspiration risk.
Choices C and E are incorrect as suctioning should be based on clinical need, not a fixed schedule, and avoiding suctioning could increase infection risk.
Question 4 of 5
A nurse is caring for a client newly diagnosed with a pulmonary embolism (PE). Which of the following is the initial assessment finding in the client diagnosed with PE?
Correct Answer: A
Rationale: Dyspnea and anxiety are hallmark initial symptoms of PE due to impaired lung blood flow and patient distress.
Question 5 of 5
A nurse is reviewing incident reports submitted during the previous month. The nurse should identify which of the following as a problem that should be reported to the risk manager?
Correct Answer: B
Rationale: Omitting witness names hinders thorough investigation of incidents, a critical issue for risk management. Other practices are standard or beneficial.