ATI RN
ATI n232 Med Surg Exam Questions
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 1 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.
Extract:
Question 2 of 5
A client has tested positive for tuberculosis (TB). While providing client teaching, what information should a nurse prioritize?
Correct Answer: A
Rationale: Adhering to the TB medication regimen prevents resistance and relapse. B. Isolation ends after 2 weeks of therapy and negative smears, not the entire treatment. C. TB is not self-limiting; it requires treatment. D. Physical therapy is not a primary focus.
Question 3 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 4 of 5
A nurse is caring for a client who has a living will which states Do Not Resuscitate (DNR), but whose children have decided that their parent should be a full code. The client has coded twice. The other nurses do not seem to have any issues with the situation, but the nurse feels distressed. Which of the following best describes this source of conflict?
Correct Answer: B
Rationale: The conflict arises from violating the client's DNR wishes, creating an ethical dilemma between autonomy and family demands. A. No cultural issues are indicated. C. No group competition is present. D. Resources or safety are not the issue.
Question 5 of 5
A 65-year-old client with a history of diabetes mellitus was admitted to the hospital for a scheduled knee replacement surgery. During the postoperative period, the client developed a surgical site infection that required prolonged antibiotic therapy and wound care. This event is categorized as:
Correct Answer: A
Rationale: A surgical site infection is an adverse event, a complication from care. B. Never events are preventable errors like wrong-site surgery. C. Near misses don't cause harm. D. Sentinel events involve severe harm or death.