Questions 49

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ATI n232 Med Surg Exam Questions

Extract:


Question 1 of 5

A nurse is reviewing the arterial blood gas (ABG) result for a client diagnosed with progressive chronic obstructive pulmonary disease (COPD). The nurse should expect which of the following ABG findings for a client diagnosed with progressive COPD?

Correct Answer: B

Rationale: Progressive COPD shows respiratory acidosis (low pH, high PaCO2) with compensatory high HCO3. A. Indicates alkalosis. C, D are normal or mild.

Question 2 of 5

A nurse is caring for a client diagnosed with pneumonia and assesses labored breathing and copious tracheobronchial secretions. What priority action should the nurse encourage with the client?

Correct Answer: D

Rationale: Incentive spirometry promotes lung expansion and secretion clearance, critical for pneumonia. A. Fluids thin secretions. B. Pursed-lip breathing is for COPD. C. High Fowler's aids breathing.

Question 3 of 5

A new graduate nurse is about to go on their first job interview. Which of the following is a good recommendation for the new graduate nurse?

Correct Answer: D

Rationale: Asking about the role and facility shows interest and fit. A. Balanced answers are better. B. Salary questions are premature. C. Placing a portfolio uninvited is assertive.

Question 4 of 5

A Drain has been diagnosed in the Emergency Department with acute respiratory distress syndrome (ARDS). Which of the following actions should a nurse perform first?

Correct Answer: A

Rationale: Intubation ensures ventilation in ARDS-related hypoxemia. B, C, D are secondary.

Extract:

Nurses' Notes
Medical History
Vital Signs
Client appears anxious and tachypneic. Respirations are labored and shallow. Lung sounds absent in the right lower lobe. Skin is cool and slightly cyanotic.


Question 5 of 5

A nurse is reviewing the client's medical record. Which of the following prescriptions should the nurse anticipate for a client who has a pneumothorax?

Correct Answer: B,D,E

Rationale: B. IV access ensures emergency treatment readiness. D. ABGs guide oxygenation management. E. Chest tube treats pneumothorax. A, C, F are inappropriate or secondary.

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