ATI RN
ATI n232 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to discharge a client who is a status post-operative laryngectomy. The nurse should recognize which of the following discharge teaching is the highest priority?
Correct Answer: C
Rationale: Emergency ID ensures safety by communicating inability to speak in crises. A, B, D are important but secondary to immediate safety.
Extract:
Medical History
Nurses' Notes
Vital Signs
Diagnostic Results
Day 1:
Client has a history of emphysema and reports smoking 21 packs of cigarettes per year.
Question 2 of 5
For each potential nursing action, click to specify if the action is essential, nonessential, or contraindicated for the client.
| Options | Essential | Nonessential | Contraindicated |
|---|---|---|---|
| Initiate a weight-based continuous heparin infusion | |||
| Prepare client for a chest tube insertion | |||
| Administer an analgesic | |||
| Insert an indwelling urinary catheter | |||
| Initiate supplemental oxygen |
Correct Answer: B,C,E
Rationale: Condition: Pneumothorax. B. Chest tube is essential for lung re-expansion. C. Analgesic manages pain. E. Oxygen addresses hypoxia. A. Heparin is contraindicated without thromboembolism. D. Catheter is nonessential.
Extract:
Question 3 of 5
A nurse is preparing to administer potassium chloride elixir 40 mEq divided into 2 equal doses every 12 hr. Available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 15 mL
Rationale: Desired dose: 20 mEq (40/2). Concentration: 6.7 mEq/5 mL = 1.34 mEq/mL. Volume = 20 / 1.34 ≈ 15 mL.
Question 4 of 5
A nurse is caring for a client at risk for atelectasis. Which independent nursing measure should the nurse prioritize to prevent atelectasis development?
Correct Answer: A
Rationale: Incentive spirometry promotes lung expansion, preventing alveolar collapse. B, C, D are supportive but less direct.
Question 5 of 5
A nurse is reviewing arterial blood gas results for a client diagnosed with chronic obstructive pulmonary disease (COPD). The nurse should expect which abnormal finding?
Correct Answer: C
Rationale: COPD causes CO2 retention due to impaired ventilation, leading to hypercapnia (increased PaCO2) and respiratory acidosis. A. Hypoxemia, not increased oxygen, is typical. B. pH is usually low or normal due to acidosis, not elevated. D. Alveolar damage is structural, not an ABG finding.