ATI RN
ATI Med Surg Nur214 Questions
Extract:
Question 1 of 5
The nurse is reassessing a 57-year-old female client who was admitted to the hospital with a left upper arm open wound infection (methicillin-resistant Staphylococcus aureus [MRSA] and several gram-negative bacteria) and cellulitis 5 days ago. Tomorrow she is scheduled for discharge to home with her daughter to continue oral antibiotic therapy for another 10 days. For each assessment finding, use the choices from the drop-down box to indicate whether the interventions were Effective (helped to meet expected outcomes), Ineffective (did not help to meet expected outcomes), or Unrelated (not related to the expected outcomes).
Correct Answer: A
Rationale: Mild pain (2/10) indicates effective pain management. Normal blood glucose is effective. Slight redness suggests ineffective infection resolution. Back achiness is unrelated to the infection treatment.
Question 2 of 5
The nurse is caring for a client diagnosed with a systemic staphylococci infection from the client's own flora. The nurse correctly notes that this is an example of a(n):
Correct Answer: B
Rationale: An endogenous infection is caused by the body's normal flora acting as opportunistic pathogens when the host is susceptible.
Question 3 of 5
The nurse is examining new medication orders for a patient and notes the following order: Methadone 40.0 mg orally twice a day. Why does the nurse contact the provider to clarify the order?
Correct Answer: C
Rationale: Trailing zeros should be avoided when writing medication orders. Writing "40.0 mg" instead of "40 mg" can lead to dosing errors if the decimal point is not seen.
Question 4 of 5
Administration in a facility is charged with developing a shared governance structure within nursing to develop/revise policies/procedure, and to weigh in on decisions that ultimately support the success of the facility. What is this process called?
Correct Answer: C
Rationale: Decentralization is the process of distributing or dispersing functions, powers, people or things away from a central location or authority.
Question 5 of 5
The nurse is assessing a patient being cared for at the end of life. Which of the following respiratory patterns would be expected?
Correct Answer: D
Rationale: Cheyne-Stokes respirations, characterized by cycles of increasing and decreasing depth with periods of apnea, are commonly observed in end-of-life patients.