ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
Which of the following are the most common manifestations of COPD? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Chronic cough results from airway irritation. Sputum production is due to increased mucus. Dyspnea worsens with COPD progression. Wheezing occurs from narrowed airways. Chest tightness, while possible, is more associated with asthma.
Question 2 of 5
A nurse is caring for a client with a urinary catheter. How should the nurse prevent infection?
Correct Answer: C
Rationale: Securing the catheter prevents urethral trauma and reduces infection risk.
Question 3 of 5
Which of the following clients is at the highest risk for developing osmotic cerebral edema?
Correct Answer: B
Rationale: Rapidly lowering plasma glucose levels creates an osmotic gradient between the brain and plasma, causing brain cells to pull water and result in cerebral edema. Hypokalemia, increased hemoglobin A1C, and elevated creatinine do not directly cause osmotic cerebral edema.
Question 4 of 5
Which of the following are risk factors for head injuries in older adults? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Decreased visual acuity contributes to falls due to poor depth perception and reduced peripheral vision. Polypharmacy increases fall risk through sedative or psychotropic medication effects. Weakness and frailty are age-related changes that heighten fall risk. Chronic hypertension can cause orthostatic hypotension or cerebrovascular issues like strokes, leading to falls. Motor vehicle crashes are less common in older adults, and previous military experience is not a common risk factor for fall-related head injuries.
Question 5 of 5
A nurse is caring for a client with asthma. Which of the following happens physiologically when bronchospasm occurs?
Correct Answer: C
Rationale: Bronchospasm in asthma involves inflammation, edema, and excess mucus, leading to airway narrowing and obstruction. Decreased mucus production, reduced inflammation, or thinning mucus do not contribute to bronchospasm.