ATI RN
ATI Nur201 FA2 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
The nurse is teaching a client with newly diagnosed asthma. Which instructions should the nurse include to reduce the likelihood of an asthma attack? (Select all that apply)
Correct Answer: A,B,C
Rationale: Avoiding smoking, calling 911 for red zone peak flow readings, and washing bedclothes in hot water are effective measures to reduce asthma attacks. Smoking and dust mites are triggers, and red zone readings indicate severe obstruction. Air fresheners can irritate airways, and inhalers are typically used 15-30 minutes before exercise.
Question 2 of 5
In reviewing a 50-year-old client's medical record, which clinical manifestation should the nurse plan to assess for?
Correct Answer: C
Rationale: Severe eye pain is a significant manifestation of increased intraocular pressure, such as in acute angle-closure glaucoma, requiring immediate assessment.
Question 3 of 5
The nurse is caring for a client who was prescribed digoxin. Which manifestations correlate with a digoxin level of 3.0 (Range: 0.8-2.0)? (Select all that apply)
Correct Answer: A,B
Rationale: Nausea and vomiting are common symptoms of digoxin toxicity due to gastrointestinal irritation caused by elevated digoxin levels. Photophobia and hyperglycemia are not typically associated with digoxin toxicity.
Question 4 of 5
The night nurse in the cardiac ICU has just received a report on several patients. Which of the following clients should the nurse prioritize for rounds?
Correct Answer: A
Rationale: A patient with a new-onset of confusion and restlessness is a priority because these symptoms could indicate a serious condition such as hypoxia, electrolyte imbalance, or a neurological event like a stroke. These changes in mental status need to be evaluated immediately to prevent further complications.
Question 5 of 5
The charge nurse observes a nurse performing interventions for a client who has just arrived in the post-anesthesia care unit following right cataract removal and intraocular lens implantation. Which intervention would require the charge nurse to intervene?
Correct Answer: D
Rationale: Encouraging the client to exercise with 20 lb weights one day post-operatively is inappropriate and requires the charge nurse to intervene. Strenuous activity can increase intraocular pressure and compromise the healing process after cataract surgery. The client should avoid heavy lifting and follow the post-operative care instructions provided by the healthcare team.