ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is initiating a plan of care for a client who has COPD. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: Pursed-lip breathing improves ventilation and reduces breathing effort in COPD patients, helping manage shortness of breath effectively.
Question 2 of 5
A nurse is caring for a client who has increased intracranial pressure (ICP). Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: Keeping the neck in a midline position helps ensure proper venous drainage from the brain, reducing intracranial pressure. This is a standard practice in managing patients with elevated ICP.
Question 3 of 5
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should indicate to the nurse the need for immediate intervention?
Correct Answer: C
Rationale: A respiratory rate of 30/min is significantly elevated, indicating potential respiratory distress or neurological deterioration, requiring immediate intervention.
Question 4 of 5
A nurse is preparing to discharge a client who has a new diagnosis of chronic kidney disease (CKD). Which of the following referrals should the nurse plan to initiate?
Correct Answer: D
Rationale: Dietary services are crucial for clients with chronic kidney disease. Proper nutrition can help manage symptoms, slow disease progression, and improve overall health. A dietitian can provide personalized dietary plans to ensure the client avoids foods that may exacerbate their condition and includes those that support kidney health.
Question 5 of 5
A nurse is assessing a client who has had a left-hemisphere stroke. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Expressive aphasia results from left-hemisphere strokes, impairing speech production due to damage in language areas.