ATI RN
ATI Nursing 232 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is developing a plan of care for a patient on a ventilator, to prevent ventilator-associated pneumonia. The nurse recognizes that which of the following interventions should be included? Select all that apply.
Correct Answer: A,B,D
Rationale:
Choice A: Weaning protocols reduce ventilation duration, lowering pneumonia risk.
Choice B: Oral care reduces bacterial load in the mouth.
Choice D: Prone positioning aids secretion drainage, reducing infection risk.
Choices C and E are incorrect as suctioning should be need-based.
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 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 4 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.
Question 5 of 5
A nurse is caring for a client diagnosed with adult respiratory distress syndrome (ARDS) and being treated with positive end expiratory pressure (PEEP). How does PEEP benefit the client?
Correct Answer: C
Rationale: PEEP maintains airway pressure to prevent alveolar collapse, improving oxygenation in ARDS.