ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
The nurse is caring for a client receiving mechanical ventilation. The nurse hears the low-pressure alarm sound. After checking the client and ventilator, the nurse cannot determine the source of the alarm. What should the nurse do next?
Correct Answer: D
Rationale: Using a manual resuscitation bag ensures continued ventilation while investigating the low-pressure alarm, prioritizing client oxygenation.
Question 2 of 5
The nurse is caring for a client diagnosed with pneumonia. Which medication will the nurse administer for treatment of client's problem of ineffective airway clearance?
Correct Answer: C
Rationale: Guaifenesin is an expectorant that helps loosen mucus, facilitating productive coughing to clear airways in pneumonia.
Question 3 of 5
The nurse is caring for a client three hours after percutaneous coronary intervention (PCI) with stent placement. The client now complains of 5/10 chest pain. The client is visibly diaphoretic and anxious. The ECG shows ST segment elevations. The vital signs are as follows: BP: 156/82, HR: 110, RR: 20, T: 98.6, and Sp02: 94% on 2L nasal canula. The nurse anticipates which intervention in this situation?
Correct Answer: D
Rationale: Chest pain with ST elevations post-PCI suggests reocclusion, requiring repeat PCI to restore coronary blood flow.
Question 4 of 5
What is the first action the nurse should take with the accidental dislodgement of a chest tube?
Correct Answer: C
Rationale: Applying a sterile dressing taped on three sides prevents air entry into the pleural space, reducing pneumothorax risk until further intervention.
Question 5 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.