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ATI Nursing 232 Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse is reviewing incident reports submitted during the previous month. The nurse should identify which of the following as a problem that should be reported to the risk manager?

Correct Answer: B

Rationale: Omitting witness names hinders thorough investigation of incidents, a critical issue for risk management. Other practices are standard or beneficial.

Question 2 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 3 of 5

A nurse is caring for a client diagnosed with acute rhinosinusitis. Which of the following instructions should the nurse provide to the client? Select all that apply.

Correct Answer: A,B,C,D

Rationale:
Choice A: Warm compresses reduce inflammation.
Choice B: Antibiotics treat bacterial infection.
Choice C: Smoking irritates sinuses.
Choice D: Swimming can worsen symptoms.
Choice E is incorrect as periorbital edema indicates complications.

Question 4 of 5

A nurse is caring for a postoperative client experiencing shallow respirations and refusing to cough or get out of bed to the chair. The nurse should educate the client about the increased risk of which complication?

Correct Answer: D

Rationale: Shallow breathing and immobility increase the risk of atelectasis by causing alveolar collapse, a common postoperative complication.

Question 5 of 5

Several staff nurses express concern over their confidence levels and performance to the nurse in charge of performance improvement after responding to a 'code.' The best way for the nurse in charge to evaluate and improve performance is to implement which of the following?

Correct Answer: C

Rationale: Simulation-based mock codes provide realistic practice, improving confidence and performance in code situations.

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