ATI LPN
ATI LPN UT1 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds?
Correct Answer: A
Rationale: Wheezing, particularly on expiration, is a characteristic finding during an acute asthma exacerbation due to airway narrowing.
Question 2 of 5
A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds?
Correct Answer: A
Rationale: Wheezing, particularly on expiration, is a characteristic finding during an acute asthma exacerbation due to airway narrowing.
Question 3 of 5
A nurse is reviewing the laboratory results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas (ABG) values include: pH 7.22, PaCO2 68 mm Hg, Base excess -2, PaO2 78 mm Hg, Oxygen saturation 80%, Bicarbonate 28 mEq/L. Which of the following interpretations of the ABG values should the nurse make?
Correct Answer: D
Rationale: Respiratory acidosis is indicated by a low pH and high PaCO2. The client's pH is 7.22 (acidic) and PaCO2 is 68 mm Hg (elevated), consistent with respiratory acidosis.
Question 4 of 5
A nurse is assisting with the plan of care for a client who has pneumonia and requires chest percussion, vibration, and postural drainage. Which of the following actions should the nurse plan to complete first?
Correct Answer: D
Rationale: Proper positioning is crucial for effective postural drainage, as it allows gravity to assist in moving secretions from the lung areas to the central airways.
Question 5 of 5
A nurse at a long-term care facility is reinforcing teaching with a newly hired nurse about the care of clients who are receiving mechanical ventilation. Which of the following information should the nurse include?
Correct Answer: B
Rationale: Elevating the head of the bed to 30-45° reduces the risk of ventilator-associated pneumonia by preventing aspiration.