Questions 49

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ATI n232 Med Surg Exam Questions

Extract:

Medical History
Nurses' Notes
Vital Signs
0430:
Client reports they "felt fine" during the day, but in the evening their throat hurt when they swallowed. They woke up about 0330 and could not swallow. Their throat was very sore. They noticed that their voice sounded "funny" and their chest "appeared to be sinking in with their breaths." They were very concerned and drove themself to the emergency department


Question 1 of 5

The nurse should determine the assessment findings are consistent with which of the following disease processes?

OptionsLTBEpiglottitisForeign Body Aspiration
Respiratory Rate
Irritability
Drooling
Fever
Immunization Status

Correct Answer: A,B,C,D,E

Rationale: Respiratory Rate: LTB, Epiglottitis, Aspiration (tachypnea from obstruction). Irritability: All (distress from hypoxia). Drooling: Epiglottitis, Aspiration (swallowing difficulty). Fever: LTB, Epiglottitis (infection). Immunization Status: Epiglottitis (Hib risk).

Extract:


Question 2 of 5

A nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD). The nurse should prioritize which precaution when administering nasal oxygen therapy to the client?

Correct Answer: C

Rationale: Low-flow oxygen (1-2 L/min) prevents CO2 narcosis in COPD clients with hypoxic drive. A. Breaks risk hypoxemia. B. Skin checks are secondary. D. Self-adjusting oxygen is dangerous.

Question 3 of 5

A clinic nurse is preparing to teach student nurses about care of clients with viral pharyngitis. Which information should the nurse include in the teaching plan? Select all that apply.

Correct Answer: B,C,D

Rationale: B. Drooling/inability to open mouth signals complications. C. Hydration soothes throat. D. Avoiding sharing prevents spread. A. Antibiotics are for bacterial infections. E. Rash monitoring is unnecessary.

Extract:

Medical History
Nurses' Notes
Vital Signs
0430:
Client reports they "felt fine" during the day, but in the evening their throat hurt when they swallowed. They woke up about 0330 and could not swallow. Their throat was very sore. They noticed that their voice sounded "funny" and their chest "appeared to be sinking in with their breaths." They were very concerned and drove themself to the emergency department


Question 4 of 5

The nurse should determine the assessment findings are consistent with which of the following disease processes?

OptionsLTBEpiglottitisForeign Body Aspiration
Respiratory Rate
Irritability
Drooling
Fever
Immunization Status

Correct Answer: A,B,C,D,E

Rationale: Respiratory Rate: LTB, Epiglottitis, Aspiration (tachypnea from obstruction). Irritability: All (distress from hypoxia). Drooling: Epiglottitis, Aspiration (swallowing difficulty). Fever: LTB, Epiglottitis (infection). Immunization Status: Epiglottitis (Hib risk).

Extract:


Question 5 of 5

A new graduate nurse is about to go on their first job interview. Which of the following is a good recommendation for the new graduate nurse?

Correct Answer: D

Rationale: Asking about the role and facility shows interest and fit. A. Balanced answers are better. B. Salary questions are premature. C. Placing a portfolio uninvited is assertive.

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