Questions 127

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ATI N200 Med Surg Exam Questions

Extract:


Question 1 of 5

The nurse recognizes that the primary physiologic problem affecting clients with emphysema is:

Correct Answer: D

Rationale: Alveolar wall destruction (
D) causes air trapping in emphysema. Bronchial size (
A), diaphragm overexpansion (
B), and inhalation difficulty (
C) are secondary.

Question 2 of 5

The nurse is caring for a client who has a core temperature of 97°F (36.1°C) post-op in the post-anesthesia care unit. What action(s) will the nurse take in light of this finding? (Select all that apply)

Correct Answer: C,D

Rationale: Warmed IV fluids (
C) and warm blankets (
D) address mild hypothermia. Blood transfusion (
A) is unrelated, warm irrigation (
B) is not standard, and acetaminophen (E) is for fever, not hypothermia.

Question 3 of 5

Post total joint replacement, the patient needs for the joint to heal prior to sexual activity. What position is best for the patient after a total joint replacement of the hip?

Correct Answer: A

Rationale: Side-lying on the unaffected side is the safest position for hip replacement patients to avoid dislocating the affected hip. Lateral Sims position is not appropriate for this scenario. Reverse Trendelenburg position is not related to hip replacement precautions. The patient being on the bottom is not recommended for a hip replacement as it could cause stress on the joint.

Question 4 of 5

Which of the following would the nurse discuss as common triggers for a client newly diagnosed with asthma? (SELECT ALL THAT APPLY)

Correct Answer: A,B,C,D

Rationale: Exercise (
A), pollen (
B), dander (
C), and stress (
D) trigger asthma. Travel (E) is not a direct trigger.

Question 5 of 5

The experienced nurse understands that the student nurse may require additional instruction regarding proper respiratory assessment techniques when the nurse observes the student: (SELECT ALL THAT APPLY)

Correct Answer: B,C

Rationale: Rapid breathing (
B) distorts breath sounds, and listening through clothing (
C) reduces accuracy. Full respirations (
A), slow deep breaths (D, ideally through the mouth), and assessing both phases (E) are correct techniques.

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