ATI RN
ATI n269 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has asthma about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The client holds his breath for 10 seconds after inhaling the medication: This is the correct action. Holding the breath allows the medication to settle in the lungs, enhancing its therapeutic effect.
Question 2 of 5
Which action would the nurse take first for a patient with a tracheostomy who appears anxious and is having difficulty in coughing up thick respiratory secretion?
Correct Answer: C
Rationale: Suctioning the tracheostomy is the priority action in this situation. When a patient with a tracheostomy has difficulty clearing thick secretions, suctioning is the most effective way to relieve the obstruction and improve airflow, thereby addressing the immediate respiratory distress.
Question 3 of 5
Which safety measure is most important for the nurse to institute for a patient who has Cushing Syndrome?
Correct Answer: B
Rationale: Assisting the patient to change positions slowly is the most important safety measure for a patient with Cushing's syndrome. Patients with Cushing's syndrome often have osteoporosis and a risk of fractures due to prolonged exposure to high cortisol levels, which can lead to weakened bones. Orthostatic hypotension may also occur, so changing positions slowly can prevent falls.
Question 4 of 5
Which of the following assessment findings indicates an emergency and the need for immediate action on the part of the nurse?
Correct Answer: B
Rationale: Tracheal deviation is a medical emergency and typically indicates tension pneumothorax, where air accumulates in the pleural space, shifting the trachea away from the affected side. This can compress the heart and lungs, leading to respiratory and circulatory collapse, requiring immediate action.
Question 5 of 5
A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see?
Correct Answer: B
Rationale: In metabolic acidosis, the pH is expected to be below 7.35 because metabolic acidosis indicates an accumulation of acid or loss of bicarbonate, which lowers the blood pH.