ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A patient with asthma presents with daily peak flow rates consistently at 45% of their personal best. What is the most appropriate action the nurse should take?
Correct Answer: D
Rationale: Peak flow rates at 45% indicate poor asthma control, requiring initiation of an asthma action plan and oral corticosteroids to manage the exacerbation.
Question 2 of 5
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and is short of breath. When reviewing the client's arterial blood gases (ABGs), which of the following conditions should the nurse anticipate the client to be experiencing?
Correct Answer: C
Rationale: Respiratory acidosis is common in COPD exacerbations due to CO2 retention from impaired gas exchange, especially when short of breath.
Question 3 of 5
A nurse is caring for a child who has a fracture of the forearm. The parent tells the nurse that the provider said it was a greenstick fracture and asks what that means. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: A greenstick fracture, common in children, involves the bone breaking on one side and bending on the other due to bone flexibility.
Question 4 of 5
Which medications would be most appropriate to administer to a patient experiencing an acute asthma attack? Select all that apply.
Correct Answer: A,B,E
Rationale: Ipratropium and albuterol relieve bronchospasm during an acute asthma attack, while inhaled hypertonic saline aids mucus clearance. Salmeterol and montelukast are for long-term management.
Question 5 of 5
A nurse notes increasing edema in the calf of a client who has multiple fractures of the leg. The nurse should recognize that increasing edema is a manifestation of which of the following complications?
Correct Answer: C
Rationale: Increasing edema in the calf suggests acute compartment syndrome, where swelling increases pressure in a muscle compartment, risking tissue damage.