ATI RN
ATI Nursing 232 Med Surg Exam Questions
Extract:
Question 1 of 5
In the context of developing a care plan for a patient on a ventilator to prevent ventilator-associated pneumonia, which interventions should be included? Select all that apply.
Correct Answer: A,B,D
Rationale:
Choice A: Implementing ventilator-weaning protocols minimizes exposure to mechanical ventilation, a significant risk factor for ventilator-associated pneumonia.
Choice B: Frequent oral care reduces respiratory pathogens in the oral cavity, preventing their aspiration.
Choice D: Positioning in a semi-upright position (30 to 45 degrees), not prone, reduces aspiration risk.
Choices C and E are incorrect as suctioning should be based on clinical need, not a fixed schedule, and avoiding suctioning could increase infection risk.
Question 2 of 5
A nurse is caring for a client who has a living will which states Do Not Resuscitate (DNR), but whose children have decided that their parent should be a full code. The client has coded twice. The other nurses do not seem to have any issues with the situation, but the nurse feels distressed. What best describes this source of conflict?
Correct Answer: A
Rationale: The conflict arises from differing ethical views on respecting the client's DNR versus the family's wishes, creating an ethical dilemma.
Question 3 of 5
A patient diagnosed with lung carcinoma is scheduled for a left pneumonectomy. Which nursing intervention should be prioritized in the immediate postoperative period?
Correct Answer: C
Rationale: Assessing the chest tube and pleur-evac is critical to monitor for complications like excessive bleeding or pneumothorax, ensuring lung re-expansion. Other interventions, while important, are secondary in the immediate postoperative period.
Question 4 of 5
A nurse is reviewing incident 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: B
Rationale: Omitting witness names hinders thorough investigation of incidents, a critical issue for risk management. Other practices are standard or beneficial.
Question 5 of 5
The nurse has observed an increase in the occurrence of pressure injuries among patients in the Intensive Care Unit (ICU). After documenting these findings, the nurse collaborated with the manager to create and implement a new policy that emphasizes the consistent use of a pressure injury risk assessment scale. Which term best characterizes the nurse's actions?
Correct Answer: A
Rationale: Implementing a policy to reduce pressure injuries through systematic assessment is a quality improvement initiative.