ATI RN
ATI Medsurg Proctored Final Exam Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to a client who has asthma and new prescriptions for cromolyn and albuterol, both by nebulizer. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A: "I will be sure to take the albuterol before taking the cromolyn." This is because albuterol is a bronchodilator that helps to open up the airways quickly, providing immediate relief during an asthma attack. Cromolyn, on the other hand, is a mast cell stabilizer that helps to prevent asthma attacks but does not provide immediate relief. Taking albuterol first allows for quick relief, followed by cromolyn for long-term prevention.
Choice B is incorrect as taking both medications at the same time may not allow for the full effectiveness of each drug.
Choice C is incorrect as cromolyn should be taken before albuterol to allow time for it to take effect.
Choice D is incorrect as there is a specific order in which these medications should be taken for optimal results.
Question 2 of 5
A nurse is discharging a child who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Offer fluids to your child multiple times every day. This is important in sickle cell anemia to prevent dehydration and promote good blood flow, reducing the risk of sickling and subsequent crisis episodes. Adequate hydration helps maintain the flexibility of red blood cells and prevents them from clumping together. Options B, C, and D are incorrect because limiting fluid intake can lead to dehydration and worsen the symptoms of sickle cell anemia during and after a crisis episode. It is essential to encourage regular fluid intake to keep the child well-hydrated and prevent complications.
Question 3 of 5
A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?
Correct Answer: C
Rationale: The correct answer is C: Generalized urticaria. This finding indicates an allergic transfusion reaction because urticaria, or hives, is a common symptom of an allergic response. It is caused by histamine release in response to the foreign blood product. Chest pain (
A) is more indicative of a possible cardiac issue. Hypotension (
B) may suggest a hemolytic reaction due to rapid destruction of red blood cells. Fever (
D) is a common symptom of a febrile non-hemolytic transfusion reaction. Other choices are incorrect as they are not specific to an allergic reaction.
Question 4 of 5
A nurse is collaborating on care for a client who has COPD. Which of the following tasks should the nurse recommend be referred to an occupational therapist for assistance?
Correct Answer: A
Rationale: The correct answer is A because an occupational therapist can help the client with COPD by providing strategies and adaptive tools for meal preparation to conserve energy and promote independence in daily activities. Administering oxygen therapy (
B), monitoring oxygen saturation levels (
C), and assessing breathing patterns (
D) are within the scope of nursing practice for managing COPD. These tasks require clinical knowledge and skills that nurses are trained to perform.
Question 5 of 5
A nurse is assessing a client for hypoxemia during an asthma attack. Which of the following manifestations should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Agitation. During an asthma attack, hypoxemia can lead to decreased oxygen supply to the brain, causing agitation due to hypoxia. Cyanosis (
A) is a bluish discoloration of the skin and mucous membranes, indicating severe hypoxemia. Hypotension (
C) is not typically associated with hypoxemia in asthma. Dizziness (
D) is more commonly seen in conditions like hyperventilation rather than hypoxemia. In summary, agitation is the most likely manifestation of hypoxemia during an asthma attack due to decreased oxygen supply to the brain.