ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A patient who is experiencing an acute asthma attack is admitted to the emergency department. Which assessment should the nurse complete first?
Correct Answer: C
Rationale: Assessing lung sounds first provides critical information about airway obstruction severity, guiding immediate interventions for an acute asthma attack.
Question 2 of 5
A nurse is assessing a client who is 1 day postoperative following a lobectomy and has a chest tube drainage system in place. Which of the following findings by the nurse indicates a need for immediate notification?
Correct Answer: D
Rationale: Subcutaneous emphysema may indicate an air leak or improper chest tube placement, requiring immediate provider notification to prevent complications.
Question 3 of 5
A nurse is applying oxygen via nasal cannula to a client diagnosed with chronic obstructive pulmonary disease (COPD). The client reports extreme shortness of breath. At what rate should the nurse set the flowmeter?
Correct Answer: B
Rationale: A flow rate of 2L per minute is appropriate for COPD to provide supplemental oxygen without suppressing the hypoxic respiratory drive.
Question 4 of 5
A client receiving low molecular weight heparin subcutaneously to prevent DVT following hip replacement surgery reports to the nurse that she observed small purple hemorrhagic areas on the right and left sides of the abdomen. Which action should the nurse implement?
Correct Answer: B
Rationale: Small hemorrhagic areas (ecchymosis) at injection sites are a common side effect of low molecular weight heparin and do not require immediate escalation.
Question 5 of 5
A patient hospitalized with chronic obstructive pulmonary disease (COPD) is being discharged home on oxygen therapy. Which instruction should the nurse include in the discharge teaching?
Correct Answer: D
Rationale: Continuous oxygen therapy, including during sleep, is essential for maintaining adequate oxygen saturation in COPD patients.