ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse teaches a patient with chronic obstructive pulmonary disease (COPD) about pursed-lip breathing (PLB). Which action by the patient would indicate to the nurse that no further teaching is needed?
Correct Answer: C
Rationale: Inhaling deeply through the nose and exhaling slowly through pursed lips is the correct technique for pursed-lip breathing. This method helps maintain open airways, reduces dyspnea, and promotes relaxation. Other options do not align with the proper technique, as they involve quick exhalation or incorrect inhalation routes.
Question 2 of 5
A patient with asthma presents with daily peak flow rates consistently at 45% of their personal best. What is the most appropriate action the nurse should take?
Correct Answer: D
Rationale: Peak flow rates at 45% indicate poor asthma control, requiring initiation of an asthma action plan and oral corticosteroids to manage the exacerbation.
Question 3 of 5
The nurse is caring for a postoperative client who has a chest tube connected to suction and a water seal drainage system. Which of the following indicates to the nurse that the chest tube is functioning properly?
Correct Answer: B
Rationale: Fluctuation of the fluid level within the water seal chamber (tidaling) indicates proper chest tube function, reflecting changes in intrapleural pressure during respiration. Continuous bubbling suggests an air leak, and absence of fluid or equal drainage amounts are not specific indicators of functionality.
Question 4 of 5
A nurse is caring for a client diagnosed with a fractured left tibia and fibula. Which data should the nurse report to the healthcare provider immediately?
Correct Answer: C
Rationale: The absence of pedal pulses and increasing pain suggest compromised circulation, possibly due to compartment syndrome, a medical emergency requiring immediate intervention. Other findings are expected or less urgent.
Question 5 of 5
A patient with chronic obstructive pulmonary disease (COPD) presents with dyspnea and wheezing. What is the most appropriate initial nursing intervention to manage these symptoms?
Correct Answer: D
Rationale: A short-acting beta-agonist (SAB
A) is the first-line treatment for acute dyspnea and wheezing in COPD, rapidly relieving bronchoconstriction.