ATI RN
ATI n232 Med Surg Exam Questions
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 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.
| 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 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 nurse is reviewing arterial blood gas results for a client diagnosed with chronic obstructive pulmonary disease (COPD). The nurse should expect which abnormal finding?
Correct Answer: C
Rationale: COPD causes CO2 retention due to impaired ventilation, leading to hypercapnia (increased PaCO2) and respiratory acidosis. A. Hypoxemia, not increased oxygen, is typical. B. pH is usually low or normal due to acidosis, not elevated. D. Alveolar damage is structural, not an ABG finding.
Question 4 of 5
Which of the following are considered barriers to appropriate communication with clients? Select all that apply.
Correct Answer: A,C,E
Rationale: A. Cultural incompetence hinders understanding. C. Implicit bias causes disparities. E. Lack of diversity limits cultural familiarity. B. Training improves communication. D. High health literacy aids interaction.
Question 5 of 5
A nurse is reviewing event reports submitted during the previous month. The nurse should identify which of the following as a problem that should be reported to the risk manager?
Correct Answer: D
Rationale: Omitting witness names hinders investigations. A, B, C are standard practices.