ATI RN
ATI n269 Med Surg Comprehensive 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: Holding the breath for 10 seconds after inhaling the medication allows the medication to settle in the lungs and be absorbed more effectively, indicating proper use of the inhaler.
Question 2 of 5
A nurse in an emergency department is assessing a client who is having a suspected acute myocardial infarction (MI). Which of the following manifestations should the nurse expect to find for a client experiencing an acute MI? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Diaphoresis, nausea, and tachycardia are common symptoms of an acute MI due to the body's stress response, gastrointestinal effects, and compensatory mechanisms for reduced cardiac output. Orthopnea and headache are not typical.
Question 3 of 5
Which assessment finding would the nurse expect from a patient with left-sided heart failure?
Correct Answer: A
Rationale: Pulmonary congestion is a hallmark of left-sided heart failure. When the left ventricle fails to pump effectively, blood backs up into the lungs, causing symptoms like shortness of breath, crackles, and fluid accumulation in the lungs.
Question 4 of 5
Which intervention would the nurse implement as the priority when providing care for a patient with a ventriculostomy to measure increased intra-cranial pressure (ICP) caused by a brain tumor?
Correct Answer: B
Rationale: Strict aseptic technique with all procedural dressing changes is the priority intervention. A ventriculostomy is an invasive procedure that introduces the risk of infection, which can significantly worsen the patient's condition. Preventing infection is crucial for maintaining the integrity of the ventriculostomy and ensuring accurate ICP measurements.
Question 5 of 5
A nurse is planning to calculate a client's cardiac output. Which of the following data should the nurse obtain to calculate the cardiac output?
Correct Answer: D
Rationale: Heart rate is one of the key components in calculating cardiac output, along with stroke volume. Cardiac output is calculated by multiplying the heart rate (beats per minute) by the stroke volume (the amount of blood pumped by the heart per beat). This provides the total amount of blood the heart pumps per minute.