ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
COPD patient's chart - Nurse's Note (0800) 84-year-old male client with a chronic obstructive pulmonary disease (emphysema) history is admitted to the inpatient Med surge unit provider today. Upon admission, the client reports unusual increased shortness of breath and fatigue. The client is on 1 liter of oxygen via a nasal cannula; 02 saturation is 93%. The client's respiratory rate is 30 bpm with accessory muscle use, heart rate is 125 bpm, and blood pressure is 127/89 mmHg. The client has a barrel chest and extremities. On call provided paged, pending call back. Identify listed assessment findings as expected or findings that need to be reported to the provider.
| Options | Expected Findings | Findings to be reported to provider |
|---|---|---|
| Barrel chest: Expected Finding | ||
| Increased fatigue: Finding to be reported to the provider | ||
| Respiratory rate 40 bpm: Finding to be reported to the provider | ||
| Thin appearance: Expected Finding |
Correct Answer: A,B,C,D
Rationale: Barrel chest and thin appearance are expected in COPD; increased fatigue and tachypnea (40 bpm) indicate exacerbation, requiring reporting.
Question 2 of 5
A nurse is teaching a class at a community center to a group of young adult, adult, and older adult clients regarding regular screening recommendations for cancer prevention. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Annual mammograms starting at age 40 are recommended for average-risk women to detect breast cancer early, per ACS guidelines.
Question 3 of 5
The patient asks the nurse what the P Wave indicates on an EKG strip. The nurse informs the patient that the P Wave represents:
Correct Answer: D
Rationale: The P wave represents the passage of the electrical impulse through the atria, leading to atrial depolarization and contraction, initiating the cardiac cycle.
Question 4 of 5
A nurse instructs a 60-year-old client diagnosed with asthma about using a peak expiratory flow meter. Which immediate action should the nurse recommend to the client that obtains a reading of 82% on their peak flow meter?
Correct Answer: C
Rationale: The correct immediate action is to administer a rescue dose of albuterol. Albuterol is a short-acting beta-agonist that helps open the airways quickly during an asthma exacerbation. A PEFR of 82% falls in the yellow zone, suggesting some obstruction but not an emergency situation.
Question 5 of 5
A nurse is teaching a client who has angina pectoris about starting therapy with nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?
Correct Answer: C
Rationale: Taking nitroglycerin at the first sign of chest pain ensures rapid relief by dilating coronary arteries.