ATI RN
ATI Nursing 232 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: Addressing systemic barriers to nursing tasks directly improves unit quality and patient care.
Question 2 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 3 of 5
A nurse is caring for a client diagnosed with adult respiratory distress syndrome (ARDS) and being treated with positive end expiratory pressure (PEEP). How does PEEP benefit the client?
Correct Answer: C
Rationale: PEEP maintains airway pressure to prevent alveolar collapse, improving oxygenation in ARDS.
Question 4 of 5
A nurse is caring for a patient who reports experiencing an alteration in sense of smell following surgery for a total laryngectomy. The nurse should address the patient's concern through which of the following responses?
Correct Answer: D
Rationale: A laryngectomy bypasses the nose, altering smell due to changed airflow, accurately addressing the patient's concern.
Question 5 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.