ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A nurse working in the respiratory unit is caring for a client admitted for end stage COPD. Upon assessment the client's skin is pink, respirations are 13 bpm and saturations are 92% on 6 liters via nasal cannula. The client is complaining of shortness of breath while laying down. What should be the nurse's first priority action?
Correct Answer: C
Rationale: Fowler's position improves lung expansion and reduces breathing effort, addressing shortness of breath in COPD patients.
Question 2 of 5
A nurse is caring for a client who develops the rhythm below. The client is unresponsive, pulseless, and apneic. Which of the following actions should the nurse expect to do first?
Correct Answer: A
Rationale: Defibrillation is the priority for ventricular fibrillation, a life-threatening arrhythmia, to restore a perfusing rhythm in an unresponsive, pulseless client.
Question 3 of 5
A client presents to the emergency department complaining of sudden onset of palpitations and chest pain. After assessment, the nurse notes the client to be diaphoretic, skin is cool to touch, BP is 80/40 mm Hg. Resp 26 and Sats of 89% [see image]. The nurse anticipates an order for which of the following interventions?
Correct Answer: A
Rationale: Synchronized cardioversion is indicated for unstable SVT with hemodynamic instability, prioritizing rapid rhythm stabilization.
Question 4 of 5
The nurse is preparing discharge teaching for a client with Bell's Palsy. Which of the following is most important to include in the teaching? [Select all that apply)
Correct Answer: B,C,E
Rationale:
B) Warm compresses reduce pain and inflammation.
C) Eye protection at night prevents corneal damage. E) Artificial tears prevent eye dryness due to impaired eyelid closure.
Question 5 of 5
A nurse in the med-surgical ICU is evaluating a patient with a diagnosis of chronic copd. The patient is receiving oxygen at a flow rate of 10 L/min via facemask. Which finding would concern the nurse to act immediately?
Correct Answer: A
Rationale: A respiratory rate of 8 bpm indicates respiratory depression, potentially due to high-flow oxygen suppressing the respiratory drive in COPD patients, requiring immediate intervention.