MED SURG ATI EXAM #2 QUESTIONS
WITH CORRECT ANSWERS
a home health nurse visits a client who has COPD and receives oxygen at 2L/min via
nasal cannula. the client reports difficulty breathing. which of the following actions is the
nursing priority?
a. increase the oxygen flow to 3L/min
b. assess the client's respiratory status
c. call emergency services for the client
d. have the client cough and expectorate secretions - Answer-b
a nurse is providing teaching for a client who has diabetes and a new prescription for
insulin glargine. which of the following instructions should the nurse provide regarding
this type of insulin?
a. insulin glargine has a duration of 3-6 hours
b. insulin glargine has a duration of 6-10 hours
c. insulin glargine has a duration of 16-24 hours
d. insulin glargine has a duration of 18-24 hours - Answer-d
a nurse is caring for a client who asks how albuterol helps his breathing. which of the
following responses should the nurse make? (Select all that apply)
a. the medication will stimulate the flow of mucus
b. the medication will prevent wheezing
c. the medication will open the airways
d. the medication will reduce inflammation
e. the medication will decrease coughing episodes - Answer-b, c, e
a nurse is caring for a client who has 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?
a. maintaining semi-Fowlers position as soon as possible
b. administering oxygen via nasal cannula at 2 L/min
c. helping client select a low-salt diet
d. encouraging client to drink 2-3 L of water daily - Answer-d
a nurse is monitoring a client who is postoperative following a thyroidectomy. which of
the following data should the nurse identify as the priority to monitor?
a. airway patency
b. temperature
c. urination
d. pain control - Answer-a
a nurse in an urgent care center is caring for a client who is having an acute asthma
exacerbation. which of the following actions is the nurse's highest priority?
, a. initiating oxygen therapy
b. providing immediate rest for the client
c. positioning the client in high-Fowlers
d. administering a nebulized beta-adrenergic - Answer-d
a nurse is providing teaching to a client who has emphysema and a new prescription for
theophylline. which of the following instructions should the nurse provide?
a. consume a high-protein diet
b. administer the medication with food
c. avoid caffeine while taking this medication
d. increase fluids to 1L per day - Answer-c
a nurse is caring for a client who is in myxedema coma. which of the following actions
should the nurse take?
a. turn the client every 4 hour
b. check the client's blood pressure every 2 hours
c. initiate measures to cool the client
d. place the client on aspiration precautions - Answer-d
a nurse is providing discharge teaching to a client who has asthma and a new
prescription for fluticasone/salmeterol. for which of the following adverse effects should
the nurse instruct the client to report to the provider?
a. sedation
b. increased appetite
c. white coating in the mouth
d. dry oral mucus membranes - Answer-c
a nurse is caring for a child who is experiencing status asthmaticus. which of the
following interventions is the priority for the nurse to take?
a. administer a short acting Beta 2 agonist
b. obtain a peak flow reading
c. administer an inhaled glucocorticoid
d. determine the cause of the acute exacerbation - Answer-a
a nurse is assessing four clients on a medical unit. the nurse should identify which of
the following clients as exhibiting positive manifestations of hypercortisolism?
a. a client who has a butterfly rash on his face
b. moon face
c. a client who has a positive chvostek's sign
d. a client who has muscle hypertrophy - Answer-b
a client is teaching a client who has tuberculosis and is to start combination drug
therapy. which of the following medications should he nurse plan to administer?
a. rifampin
b. isoniazid
c. acyclovir
WITH CORRECT ANSWERS
a home health nurse visits a client who has COPD and receives oxygen at 2L/min via
nasal cannula. the client reports difficulty breathing. which of the following actions is the
nursing priority?
a. increase the oxygen flow to 3L/min
b. assess the client's respiratory status
c. call emergency services for the client
d. have the client cough and expectorate secretions - Answer-b
a nurse is providing teaching for a client who has diabetes and a new prescription for
insulin glargine. which of the following instructions should the nurse provide regarding
this type of insulin?
a. insulin glargine has a duration of 3-6 hours
b. insulin glargine has a duration of 6-10 hours
c. insulin glargine has a duration of 16-24 hours
d. insulin glargine has a duration of 18-24 hours - Answer-d
a nurse is caring for a client who asks how albuterol helps his breathing. which of the
following responses should the nurse make? (Select all that apply)
a. the medication will stimulate the flow of mucus
b. the medication will prevent wheezing
c. the medication will open the airways
d. the medication will reduce inflammation
e. the medication will decrease coughing episodes - Answer-b, c, e
a nurse is caring for a client who has 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?
a. maintaining semi-Fowlers position as soon as possible
b. administering oxygen via nasal cannula at 2 L/min
c. helping client select a low-salt diet
d. encouraging client to drink 2-3 L of water daily - Answer-d
a nurse is monitoring a client who is postoperative following a thyroidectomy. which of
the following data should the nurse identify as the priority to monitor?
a. airway patency
b. temperature
c. urination
d. pain control - Answer-a
a nurse in an urgent care center is caring for a client who is having an acute asthma
exacerbation. which of the following actions is the nurse's highest priority?
, a. initiating oxygen therapy
b. providing immediate rest for the client
c. positioning the client in high-Fowlers
d. administering a nebulized beta-adrenergic - Answer-d
a nurse is providing teaching to a client who has emphysema and a new prescription for
theophylline. which of the following instructions should the nurse provide?
a. consume a high-protein diet
b. administer the medication with food
c. avoid caffeine while taking this medication
d. increase fluids to 1L per day - Answer-c
a nurse is caring for a client who is in myxedema coma. which of the following actions
should the nurse take?
a. turn the client every 4 hour
b. check the client's blood pressure every 2 hours
c. initiate measures to cool the client
d. place the client on aspiration precautions - Answer-d
a nurse is providing discharge teaching to a client who has asthma and a new
prescription for fluticasone/salmeterol. for which of the following adverse effects should
the nurse instruct the client to report to the provider?
a. sedation
b. increased appetite
c. white coating in the mouth
d. dry oral mucus membranes - Answer-c
a nurse is caring for a child who is experiencing status asthmaticus. which of the
following interventions is the priority for the nurse to take?
a. administer a short acting Beta 2 agonist
b. obtain a peak flow reading
c. administer an inhaled glucocorticoid
d. determine the cause of the acute exacerbation - Answer-a
a nurse is assessing four clients on a medical unit. the nurse should identify which of
the following clients as exhibiting positive manifestations of hypercortisolism?
a. a client who has a butterfly rash on his face
b. moon face
c. a client who has a positive chvostek's sign
d. a client who has muscle hypertrophy - Answer-b
a client is teaching a client who has tuberculosis and is to start combination drug
therapy. which of the following medications should he nurse plan to administer?
a. rifampin
b. isoniazid
c. acyclovir
