ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
Which medications would be most appropriate to administer to a patient experiencing an acute asthma attack? Select all that apply.
Correct Answer: A,B,E
Rationale: Ipratropium and albuterol relieve bronchospasm during an acute asthma attack, while inhaled hypertonic saline aids mucus clearance. Salmeterol and montelukast are for long-term management.
Question 2 of 5
A client receiving low molecular weight heparin subcutaneously to prevent DVT following hip replacement surgery reports to the nurse that she observed small purple hemorrhagic areas on the right and left sides of the abdomen. Which action should the nurse implement?
Correct Answer: B
Rationale: Small hemorrhagic areas (ecchymosis) at injection sites are a common side effect of low molecular weight heparin and do not require immediate escalation.
Question 3 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.
Question 4 of 5
One hour after a left thoracotomy, a patient reports incisional pain at a level 7 (based on 0 to 10 scale) and has decreased left-sided breath sounds. The pleural drainage system has 50 mLs of bloody drainage, and the nurse observes fluctuation in the water seal chamber. Which action should the nurse take?
Correct Answer: A
Rationale: Administering pain medication is the priority to improve comfort and respiratory effort, as pain can impair deep breathing. The drainage and fluctuation are expected post-thoracotomy.
Question 5 of 5
A patient hospitalized with chronic obstructive pulmonary disease (COPD) is being discharged home on oxygen therapy. Which instruction should the nurse include in the discharge teaching?
Correct Answer: D
Rationale: Continuous oxygen therapy, including during sleep, is essential for maintaining adequate oxygen saturation in COPD patients.