ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client with COPD who develops severe shortness of breath upon walking to the bathroom and oxygen saturation of 85% on room air. Which of the following medications would be a priority to treat these symptoms?
Correct Answer: A
Rationale: Albuterol rapidly opens airways, relieving acute COPD dyspnea and hypoxia (85% saturation). Mucolytics , montelukast , and prednisone are slower or preventive.
Question 2 of 5
The nurse is receiving hand-off report. Which of the following clients would the nurse assess first?
Correct Answer: C
Rationale: Decreased breath sounds and crackles in pancreatitis signal pleural effusion or ARDS, a life-threatening priority. Low NG drainage , respiratory distress in ascites , and low BP in varices are less immediately critical.
Question 3 of 5
The nurse is caring for a client with left-sided heart failure. Which of the following symptoms correlate to this diagnosis? (Select all that apply)
Correct Answer: A,B
Rationale: Tachypnea and cough result from pulmonary edema in left-sided heart failure. Jugular vein distention and ascites indicate right-sided failure, and confusion is a late, non-specific sign.
Question 4 of 5
Which class of medications are given to liquefy secretions and make them easier to expel?
Correct Answer: A
Rationale: Mucolytics thin mucus, aiding expectoration. Glucocorticoids reduce inflammation, calcium channel blockers treat hypertension, and bronchodilators open airways, not affecting mucus viscosity.
Question 5 of 5
A nurse on a medical-surgical unit is caring for a client who reports pain in the jaw, back, and shoulder, and shortness of breath and nausea. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: An EKG identifies cardiac ischemia in atypical pain (jaw, back) and dyspnea, guiding treatment. Oxygen helps symptoms, ibuprofen risks bleeding, and acetaminophen misses diagnosis.