ATI RN
ATI Med Surg 2 Respiratory exam Questions
Extract:
Question 1 of 5
A nurse is preparing discharge instructions for a client who has cirrhosis of the liver. Which of the following statements should be included in the education materials?
Correct Answer: C
Rationale: Avoiding high-sodium foods is crucial because cirrhosis often leads to fluid retention and ascites, which can be exacerbated by a high-sodium diet.
Question 2 of 5
A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?
Correct Answer: C
Rationale: Movement of the trachea towards the unaffected side is a sign of tension pneumothorax, which requires immediate intervention as it can compromise respiratory function.
Question 3 of 5
A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Implementing a low-sodium diet helps reduce fluid retention and ascites. Furosemide is a diuretic that reduces fluid overload. Measuring abdominal girth monitors ascites progression. Warfarin increases bleeding risk, and weight lifting can exacerbate varices.
Question 4 of 5
A nurse is caring for a client who has pleural effusion and has undergone thoracentesis. The nurse should identify which of the following findings as indicative of an infection?
Correct Answer: D
Rationale: Purulent fluid is indicative of an infection as it contains pus, which is a collection of dead white blood cells, bacteria, and tissue debris.
Question 5 of 5
A nurse is caring for a child who is experiencing status asthmaticus. Which of the following interventions is the priority for the nurse to take?
Correct Answer: D
Rationale: Administering a short-acting B2-agonist (SAB
A) is the priority because it provides rapid bronchodilation, helping to alleviate airway obstruction quickly.