ATI RN
ATI n232 Med Surg Exam Questions
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 1 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.
Question 2 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:
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 3 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:
Medical History
Vital Signs
Nurses' Notes
Client is a nonsmoker and has a history of GERD.
Question 4 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.
| Prepare to administer an antibiotic |
| Measure the client's peak airflow. |
| Plan to administer bronchodilator |
| Request a prescription for a diuretic |
| Teach the client pursed lip breathing |
Correct Answer: B,C,D
Rationale: Condition: Asthma (wheezing, chest tightness, dry cough, low SpO2). Actions: B. Measuring peak airflow assesses asthma severity and treatment response. C. Bronchodilators relax airways, relieving symptoms. Parameters: C. Oxygen saturation monitors oxygenation. B. Pulmonary function tests evaluate airway obstruction. Other options (A, D, E) are irrelevant for asthma management.
Extract:
Question 5 of 5
The nurse should first __ followed by __
Correct Answer: A
Rationale: Increasing oxygen addresses hypoxia in pulmonary embolism; notifying the provider ensures urgent intervention. Other options delay critical care.