ATI RN
ATI n269 Med Surg Exam Questions
Extract:
Question 1 of 5
Which instruction is highest priority when the nurse is developing a teaching plan for a patient with Addison's disease?
Correct Answer: B
Rationale: Managing lifelong corticosteroid replacement is the most crucial instruction because individuals with Addison's disease have insufficient production of adrenal hormones, particularly cortisol. Without appropriate corticosteroid therapy, they can experience life-threatening adrenal crises.
Question 2 of 5
A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following actions should the nurse take to reduce the risk of ventilator-associated pneumonia?
Correct Answer: C
Rationale: Turning the client every 2 hours (not just 4) is a key practice to prevent VAP by improving lung expansion, promoting drainage, and reducing the risk of ventilator-associated pneumonia.
Question 3 of 5
A nurse is caring for a client who has Addison's disease and is at risk for Addisonian crisis. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Administer oral corticosteroids: This is the correct action. Clients with Addison's disease have insufficient cortisol production, especially during times of stress or illness. Oral corticosteroids, such as hydrocortisone, are given to replace the deficient hormones and prevent or manage an Addisonian crisis.
Question 4 of 5
A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Purple striations, hypertension, buffalo hump, and moon face are all manifestations of Cushing's syndrome caused by excessive cortisol levels.
Question 5 of 5
A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?
Correct Answer: C
Rationale: Mold is a common environmental allergen and asthma trigger. It can exacerbate asthma symptoms and lead to allergic reactions, so it is important for clients with asthma to avoid mold exposure.