ATI RN
ATI Nursing 232 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a patient who has recently been diagnosed with chronic rhinosinusitis. What should the nurse understand about chronic rhinosinusitis in patients who have undergone organ transplants?
Correct Answer: B
Rationale: Immunosuppressive therapy increases infection risk, including chronic rhinosinusitis, in transplant patients.
Question 2 of 5
A nurse is caring for a patient who reports experiencing an alteration in sense of smell following surgery for a total laryngectomy. The nurse should address the patient's concern through which of the following responses?
Correct Answer: D
Rationale: A laryngectomy bypasses the nose, altering smell due to changed airflow, accurately addressing the patient's concern.
Question 3 of 5
A patient with lung cancer confides in the nurse, expressing fear about the disease and guilt for smoking in the past. Which response from the nurse would be most appropriate?
Correct Answer: B
Rationale: This response validates fear and encourages discussion of specific concerns, fostering supportive care.
Question 4 of 5
A patient diagnosed with a pulmonary embolism is receiving a continuous Heparin infusion. Which findings should prompt the nurse to notify the healthcare provider?
Correct Answer: A,C,D
Rationale:
Choice A: Elevated PTT indicates excessive anticoagulation.
Choice C: Hematuria suggests bleeding.
Choice D: Dual anticoagulants increase bleeding risk.
Choice B is less urgent.
Question 5 of 5
During a central IV line insertion at the bedside, a client reports shortness of breath and becomes tachypneic. Which finding should a nurse suspect indicates the client developed a pneumothorax?
Correct Answer: C
Rationale: Absent breath sounds on the affected side indicate lung collapse due to pneumothorax, a common complication of central line insertion.