ATI RN
ATI n232 Med Surg Exam Questions
Extract:
Question 1 of 5
Nurse Jordan, a seasoned member of the team, has been openly belittled by Nurse Taylor, a newer nurse. During handoffs, Nurse Taylor makes sarcastic remarks about Nurse Jordan's decisions, saying, 'I can't believe you thought that was the right approach.' This behavior creates a tense atmosphere and affects team dynamics. What type of behavior is Nurse Taylor exhibiting in this scenario?
Correct Answer: B
Rationale: Sarcastic, belittling remarks are lateral violence, harming team dynamics. A, D are positive. C includes physical harm.
Question 2 of 5
A nurse is caring for a client receiving mechanical ventilation. The nurse should prioritize which action associated with neuromuscular blockade use?
Correct Answer: C
Rationale: Passive ROM prevents contractures in paralyzed clients. A, B are routine. D is contraindicated due to paralysis.
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 3 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 4 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 5 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.