ATI LPN
ATI LPN UT1 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is reinforcing discharge instructions for a client who has asthma and is about to start using beclomethasone MDI. For which of the following findings should the nurse instruct the client to monitor and report to the provider as an adverse effect of the medication?
Correct Answer: C
Rationale: A white coating in the mouth may indicate oral thrush, a fungal infection caused by Candida species, which is a known adverse effect of inhaled corticosteroids like beclomethasone.
Question 2 of 5
A nurse is assisting with the care of a client who has multiple injuries following a motor vehicle crash. The nurse should monitor for which of the following manifestations of a pneumothorax?
Correct Answer: A
Rationale: Absence of breath sounds over the affected area is a hallmark sign of a pneumothorax. This occurs because air in the pleural space prevents lung expansion, leading to a lack of air movement and, consequently, no breath sounds.
Question 3 of 5
The nurse is gathering data on a client with a diagnosis of tuberculosis. The nurse should review the results of which diagnostic test to confirm this diagnosis?
Correct Answer: A
Rationale: A sputum culture is the definitive diagnostic test for tuberculosis, confirming the presence of Mycobacterium tuberculosis.
Question 4 of 5
A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to thin the client's respiratory secretions?
Correct Answer: A
Rationale: Increasing fluid intake helps thin respiratory secretions, making them easier to clear from the lungs.
Question 5 of 5
A nurse is assisting with weaning a client from the ventilator. Which of the following parts of the ABCDEF assessment tool does the weaning process represent?
Correct Answer: D
Rationale: The 'Breathing: Spontaneous Awakening Trials (SAT) and Spontaneous Breathing Trials (SBT)' directly involves the weaning process, as it includes assessing the patient's ability to breathe independently by reducing or removing sedation (SAT) and evaluating their capacity for spontaneous breathing (SBT).