ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
The client diagnosed with multiple sclerosis (MS) is at risk for fatigue. Which priority intervention would the nurse implement to address this issue?
Correct Answer: D
Rationale: Prioritizing activities helps manage energy levels, scheduling demanding tasks earlier to minimize fatigue in MS.
Question 2 of 5
The nursing is caring for a client in the Intensive Care Unit on a ventilator. Which intervention(s) should the nurse implement? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D,E
Rationale: Frequent respiratory assessments, bedside resuscitation bag, checking ventilator settings, and collaboration with the respiratory therapist are critical for ventilator management. Pulse oximetry should be monitored continuously, not just every shift.
Question 3 of 5
The nurse monitors the client in the immediate hours following an anterior-lateral wall myocardial infarction for the development of:
Correct Answer: B
Rationale: Ventricular dysrhythmias are a common and life-threatening complication in the immediate hours following an anterior-lateral wall myocardial infarction due to electrical disturbances caused by myocardial injury.
Question 4 of 5
The nurse is admitting a client who is on a ventilator. The client has a medical diagnosis of acute respiratory distress syndrome (ARDS). Which infection control guideline is of greatest importance?
Correct Answer: A
Rationale: Hand hygiene is the most critical infection control measure to prevent ventilator-associated infections in ARDS patients.
Question 5 of 5
To achieve the outcome of effective ventilation, which nursing intervention should be included in the plan of care for a client on a ventilator?
Correct Answer: A
Rationale: Suctioning as needed clears airway secretions, ensuring effective ventilation in ventilated clients.