ATI RN
ATI n232 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse is assigned to a quality improvement committee to decide on a quality improvement project for the unit. Which issues should the nurse discuss at the committee meeting?
Correct Answer: B
Rationale: Systemic barriers (e.g., staffing, technology) impact care quality and are appropriate for QI discussion. A. Individual errors require separate review. C. Union activities are unrelated. D. Pay concerns belong in HR discussions.
Question 2 of 5
A nurse is caring for a client who has an acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)
Correct Answer: B,C,D
Rationale: B. Severe dyspnea indicates respiratory distress. C. Headache results from hypoxia/hypercapnia. D. Decreased consciousness signals worsening gas exchange. A. Hypotension is secondary. E. Nausea is not primary.
Question 3 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: D
Rationale: Root cause analysis identifies error patterns, guiding targeted interventions. A, B, C are premature without understanding causes.
Question 4 of 5
A nurse is preparing to discharge a client who is a status post-operative laryngectomy. The nurse should recognize which of the following discharge teaching is the highest priority?
Correct Answer: C
Rationale: Emergency ID ensures safety by communicating inability to speak in crises. A, B, D are important but secondary to immediate safety.
Question 5 of 5
A client has tested positive for tuberculosis (TB). While providing client teaching, what information should a nurse prioritize?
Correct Answer: A
Rationale: Adhering to the TB medication regimen prevents resistance and relapse. B. Isolation ends after 2 weeks of therapy and negative smears, not the entire treatment. C. TB is not self-limiting; it requires treatment. D. Physical therapy is not a primary focus.