ATI RN
ATI n232 Med Surg Exam Questions
Extract:
Physical Examination
Nurses Notes
Vital Signs
Diagnostic Results
0800:
Lung sounds diminished in the bases bilateral, no adventitious sounds noted
Bowel sounds active x 4 quadrants, abdomen soft
Capillary refill less than 2 seconds
Skin dry and intact, 1+ edema noted to legs bilaterally
Question 1 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
| Check the drainage system and tubing |
| Assess for subcutaneous emphysema |
| Obtain blood cultures |
| Administer prescribed blood products |
| Observe surgical dressing |
| Choices A. Bleeding B. Pulmonary edema C. Pneumonia D. Airleak |
| Parameter to Monitor:A. Client's ability to perform lung expansion exercises B. Chest tube drainage C. Respiratory status D. Sputum E. Blood pressure |
Correct Answer: A,B,C
Rationale: Condition: Air leak (continuous bubbling, tidaling). Actions: A. Ensure drainage system integrity. B. Detect subcutaneous emphysema. Parameters: B. Monitor drainage output. C. Assess respiratory status. Other options are irrelevant for air leak.
Extract:
Question 2 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: D
Rationale: Root cause analysis identifies error patterns, guiding targeted interventions. A, B, C are premature without understanding causes.
Question 3 of 5
A client is being treated for bacterial pharyngitis. Which of the following should a nurse recommend when promoting the client's nutrition during treatment?
Correct Answer: D
Rationale: Popsicles soothe the throat, hydrate, and provide calories, ideal for bacterial pharyngitis. A. Ice cream lacks nutrition. B, C. Hot foods may irritate.
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
Day 1, 1530:
Client appears restless. SaO2 92% on 40% humidified oxygen via tracheostomy collar. Lung fields with scattered rhonchi throughout... Tracheostomy suctioned for thin clear secretions.
Day 1, 1545:
Client appears less anxious. SaO2 98% on 40% humidified oxygen via tracheostomy collar. Breath sounds clear throughout.
Day 3, 1530:
Client appears restless. Buccal mucosa dusky. SaO2 88% on 40% humidified oxygen via tracheostomy collar. Lung fields with coarse crackles, diminished at right lower lobe. Tracheostomy suctioned for thick yellow secretions.
Day 3, 1545:
Client continues to appear restless. SaO2 94% on 40% humidified oxygen via tracheostomy collar. Breath sounds with intermittent crackles, diminished at right lower lobe.
Question 4 of 5
The client has manifestations of __ and __
Correct Answer: A,B
Rationale: Pneumonia: Right lower lobe opacity, yellow secretions, crackles, and fever indicate infection. Hypoxia: SaO2 88% and dusky mucosa show inadequate oxygenation. Angina and hypertension are not supported by findings.
Extract:
Question 5 of 5
A nurse is caring for a client who reports experiencing alteration in sense of smell following surgery for a total laryngectomy. The nurse should address the client's concern through which of the following response?
Correct Answer: B
Rationale: After laryngectomy, air bypasses the nose, impairing olfaction. B. This response accurately explains the cause of anosmia. A. The body cannot smell through the stoma. C. Smell loss is typically permanent without specific techniques. D. Appetite improvement does not restore smell.