ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is 3 hours post-operative following a right lobectomy for lung cancer. The client has shallow respirations at a rate of 14/minute with guarding of the operative site. The breath sounds are diminished throughout the left lung field. The nurse assigns the highest priority to which intervention to prevent acute respiratory failure?
Correct Answer: D
Rationale: Adequate pain relief is critical to promote deep breathing and prevent shallow respirations, reducing the risk of atelectasis and respiratory failure.
Question 2 of 5
The nurse prepares discharge instructions for the client diagnosed with a myocardial infarction. Which client statement indicates a need for further education? 'I will take:
Correct Answer: A
Rationale: Sublingual nitroglycerin is used as needed for chest pain, not daily for prevention, indicating a need for further education.
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
The nurse is providing education for a client diagnosed with myasthenia gravis (MG) taking pyridostigmine. The nurse understands teaching has been effective when the client states, 'I will
Correct Answer: D
Rationale: Taking pyridostigmine 30-60 minutes before meals optimizes muscle strength during eating, which is critical for clients with myasthenia gravis to manage swallowing difficulties.
Question 5 of 5
The nurse is providing care to a client admitted with a diagnosis of bacterial pneumonia. On assessment, the client has dry mucous membranes and coarse rhonchi. What nursing interventions would the nurse include in the plan of care?
Correct Answer: B
Rationale: Increasing fluid intake thins mucus, antibiotics treat the infection, and coughing clears secretions, addressing pneumonia symptoms.