ATI RN
ATI n232 Med Surg Exam Questions
Extract:
Medical History
Vital Signs
Nurses' Notes
Client is a nonsmoker and has a history of GERD.
Question 1 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Prepare to administer an antibiotic |
| Measure the client's peak airflow. |
| Plan to administer bronchodilator |
| Request a prescription for a diuretic |
| Teach the client pursed lip breathing |
Correct Answer: B,C,D
Rationale: Condition: Asthma (wheezing, chest tightness, dry cough, low SpO2). Actions: B. Measuring peak airflow assesses asthma severity and treatment response. C. Bronchodilators relax airways, relieving symptoms. Parameters: C. Oxygen saturation monitors oxygenation. B. Pulmonary function tests evaluate airway obstruction. Other options (A, D, E) are irrelevant for asthma management.
Extract:
Question 2 of 5
The nurse noticed an increase in the prevalence of pressure injury among clients in the intensive care unit (ICU). The nurse documented the findings and worked with the manager to develop and implement a new policy addressing the consistent use of pressure injury risk assessment scale. Which term best describes the nurse's actions?
Correct Answer: B
Rationale: Implementing a risk assessment policy to reduce pressure injuries is quality improvement. A. Advocacy focuses on individual needs. C. Case management coordinates individual care. D. Collaboration is a component, not the primary action.
Extract:
Nurses' Notes
Medication Administration Record
Client is awake and alert. Breath sounds with crackles present bilaterally at bases.
Productive cough with yellow, blood-tinged sputum
Client reports pleuritic chest pain upon inspiration.
Client reports abdominal pain, frequent liquid, foul smelling stools.
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
| Place the client on contact precautions |
| Obtain a stool culture. |
| Request a prescription for an anticoagulant |
| Request a prescription for a diuretic |
| Restrict fluids |
| Condition Mostly Experiencing A. Clostridium difficile infection B. Myocardial infarction C. Pulmonary edema D. Pulmonary embolism |
| Parameter to Monitor A. Level of consciousness B. Urine output C. Calf swelling D. Potassium level E. Weight |
Correct Answer: A,B,A,E
Rationale: Condition: C. difficile (foul-smelling stools, antibiotic use). Actions: A. Contact precautions prevent spread. B. Stool culture confirms diagnosis. Parameters: A. Consciousness monitors dehydration effects. E. Weight tracks fluid loss. C, D are irrelevant.
Extract:
Question 4 of 5
The nurse is assigned to a quality improvement committee to decide on a quality improvement project for the unit. Which issues should the nurse discuss at the committee meeting?
Correct Answer: B
Rationale: Systemic barriers (e.g., staffing, technology) impact care quality and are appropriate for QI discussion. A. Individual errors require separate review. C. Union activities are unrelated. D. Pay concerns belong in HR discussions.
Question 5 of 5
A nurse is working with a colleague who frequently interrupts and takes over during client care discussions. The nurse wants to assertively address this behavior to ensure effective teamwork. Which response by the nurse demonstrates assertive behavior?
Correct Answer: A
Rationale: A. Assertive, expressing feelings respectfully. B, C, D are aggressive or accusatory.