ATI RN
ATI Nursing 232 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is part of a Continuous Quality Improvement (CQI) committee tasked with developing a program to decrease medication administration errors following a sentinel event. Which strategy should the committee consider implementing first?
Correct Answer: B
Rationale: Reviewing error circumstances identifies root causes, the first step in developing effective interventions.
Question 2 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 3 of 5
A 65-year-old client with a history of diabetes mellitus was admitted to the hospital for a scheduled knee replacement surgery. During the postoperative period, the client developed a surgical site infection that required prolonged antibiotic therapy and wound care. This event is categorized as:
Correct Answer: C
Rationale: A surgical site infection is an adverse event caused by medical management, not a never event, near miss, or sentinel event.
Question 4 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 5 of 5
A nurse is planning care for a client who has acute respiratory distress syndrome (ARDS). Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: High-protein and high-carbohydrate foods support the increased metabolic demands of ARDS, aiding recovery. Other options are less appropriate as ARDS often requires high-flow oxygen, controlled fluid management, and selective prone positioning.