ATI RN
ATI Nur 221 Med Surg Exam Cardiac Questions
Extract:
Question 1 of 5
Why are small, frequent meals recommended for patients with Chronic Obstructive Pulmonary Disease (COPD)?
Correct Answer: D
Rationale: Small, frequent meals reduce abdominal distention and diaphragm pressure, preventing dyspnea. Caloric intake, social interaction, and balanced diet are secondary considerations.
Question 2 of 5
A client has chronic obstructive pulmonary disease (COPD) and right-sided heart failure. Which statement by the nurse is correct?
Correct Answer: A
Rationale: Eating six small meals a day limits oxygen demand during digestion and prevents bloating, aiding breathing. Excessive fluids, lying down, and protein intake adjustments are not appropriate.
Question 3 of 5
A nurse is teaching a client who has chronic obstructive pulmonary disease (COPD) about how to use an albuterol inhaler. Which of the following actions by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Holding the breath for 10 seconds after inhaling allows medication absorption. Waiting 10 minutes, quick inhalation, or exhaling during inhalation are incorrect techniques.
Question 4 of 5
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, 'I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up.' Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?
Correct Answer: A
Rationale: Adequate hydration (2 to 3 L daily) thins mucus secretions, aiding expectoration. Semi-Fowler's position, oxygen therapy, and a low-salt diet do not directly address thick mucus.
Question 5 of 5
A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Encouraging the client to express fears allows emotional support and assessment. Providing health advice, dismissing fears, or referring to a physician too soon misses the opportunity for immediate support.