Questions 127

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ATI N200 Med Surg Exam Questions

Extract:


Question 1 of 5

The nurse is completing an admission assessment on a client diagnosed with asthma. What clinical manifestations are typical of the disorder?

Correct Answer: B

Rationale: Dyspnea and wheezing (
B) are hallmark asthma symptoms. Fever and bradypnea (
A), crackles and productive cough (
C), and normal chest with orthopnea (
D) are atypical.

Question 2 of 5

A client has been prescribed a full liquid diet following surgery. Which items should the nurse remove from the client's tray? (SELECT ALL THAT APPLY)

Correct Answer: B,D

Rationale: Vanilla ice cream is appropriate for a full liquid diet. Pureed bananas are not allowed as they are not fully liquid. Coffee is allowed on a full liquid diet. Chicken noodle soup with diced vegetables is not suitable as it contains solid pieces. Green JELLO is considered part of a full liquid diet.

Question 3 of 5

A client with rheumatoid arthritis is prescribed infliximab 3 mg/kg IV. The most essential addition to the client's care plan is to:

Correct Answer: C

Rationale: The drug should not be held based on how the client feels. Infliximab is prescribed based on specific treatment protocols, and stopping it could negatively impact disease management. Infliximab can be taken regardless of food intake, so it's not necessary to take it with food or milk. Infliximab is an immunosuppressive medication, which increases the risk of infections. Teaching the client and caregivers about the importance of hand hygiene is essential in preventing infections. There is no requirement for the drug to be given specifically in the morning. It can be given according to the prescribed schedule, typically at intervals based on disease management.

Question 4 of 5

A nurse on a medical-surgical unit is performing an admission assessment of a client who has COPD with emphysema. The client reports that they have a frequent productive cough and shortness of breath. The nurse should anticipate which of the following assessment findings for this client?

Correct Answer: B

Rationale: Oxygen saturation below 95% (
B) is common due to impaired gas exchange in COPD. Decreased anteroposterior diameter (
A) is incorrect as COPD often causes a barrel chest. Petechiae (
C) are unrelated, and respiratory alkalosis (
D) is less likely than acidosis due to CO2 retention.

Question 5 of 5

The nurse is completing an admission assessment on a client diagnosed with asthma. What clinical manifestations are typical of the disorder?

Correct Answer: B

Rationale: Dyspnea and wheezing (
B) are hallmark asthma symptoms. Fever and bradypnea (
A), crackles and productive cough (
C), and normal chest with orthopnea (
D) are atypical.

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