ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client diagnosed with pneumonia. Which interventions should the nurse include in the plan of care? (Select All that Apply.)
Correct Answer: A,C
Rationale: Rest and oxygen saturation monitoring conserve energy and ensure adequate oxygenation; oxygen therapy supports respiratory function in pneumonia.
Question 2 of 5
The nurse is caring for a client diagnosed with pneumonia. Which interventions should the nurse include in the plan of care? (Select All that Apply.)
Correct Answer: A,C
Rationale: Rest and oxygen saturation monitoring conserve energy and ensure adequate oxygenation; oxygen therapy supports respiratory function in pneumonia.
Question 3 of 5
A client comes to the clinic complaining of dysphagia and states that 'he feels like food is stuck in his throat.' The physician suspects esophageal cancer. Which of the following is a risk factor for esophageal cancer?
Correct Answer: A,D
Rationale: Family history and smoking tobacco are significant risk factors for esophageal cancer, increasing genetic and environmental risks.
Question 4 of 5
A patient is being treated for bleeding esophageal varices with balloon tamponade. Which of the following nursing actions will the nurse include in the plan of care?
Correct Answer: B
Rationale: Monitoring vital signs frequently is critical in patients with bleeding esophageal varices, as they are at risk for hypovolemic shock. Vital signs should be monitored closely to assess for signs of bleeding, hemodynamic instability, and response to interventions.
Question 5 of 5
A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which of the following nursing actions should the nurse complete first?
Correct Answer: B
Rationale: Assessing pulse and respirations is the first step in ensuring the patient's baseline respiratory status is stable before performing respiratory therapies. This allows the nurse to detect any signs of distress or abnormal respiratory patterns, which could indicate the need for further intervention before the procedure.