ATI Med Surg Final Exam Review
2024
ATI CH. 20 - Week 1
A nurse is monitoring a group of clients for increased risk for developing pneumonia. Which of the following clients should the nurse expect to be at risk? SATA
A. client who has dysphagia
B. A client who has AIDS
C. Client who was vaccinated for pneumonoccous and influenza 6 months ago
D. Client who is postoperative and has received local anesthesia
E. Client who has a closed head injury and is receiving ventilation
F. Client who has myasthenia gravis
A. client who has dysphagia
B. A client who has AIDS
E. Client who has a closed head injury and is receiving ventilation
F. Client who has myasthenia gravis
ATI CH. 20 - Week 1 A nurse is caring for a client who, upon awakening, was disoriented to person, place, and time. The client reports chills and chest pain that is worse upon inspiration. Which of the following actions is the nursing priority? a. obtain baseline vital signs and oxygen saturation
b. obtain a sputum culture
c. obtain a complete history from the client
d. provide a pneumococcal vaccine
a. obtain baseline vital signs and oxygen saturation
ATI CH. 20 - Week 1
A nurse is caring for a pt who has pneumonia. assessment findings include temp 100 F, respirations 30/min, blood pressure 130/76, HR 100/min, and SaO2 @ 91% on room air. Prioritize the following nursing interventions into Stages 1-4 in order of operation.
Administer antibiotics Instruct the client to obtain a yearly influenza vaccine
Admin oxygen therapy
Perform a sputum cultured
Stage 1 = Admin oxygen therapy
Stage 2 = Perform a sputum cultured
Stage 3 = Administer antibiotics Stage 4 = Instruct the client to obtain a yearly influenza vaccine
ATI CH. 20 - Week 1
A nurse in a clinic is assessing a patient who has sinusitis. which of the following techniques should the nurse use to identify manifestations of this disorder? a. percussion of posterior lobes of lungs
b. auscultation of the trachea
c. inspection of the conjunctiva
d. palpation of the orbital areas
d. palpation of the orbital areas
ATI CH. 20 - Week 1
A nurse is teaching a group of patients about influenza. Which of the following patient statements indicates an understanding of the teaching?
a. "I should wash my hands after blowing my nose to prevent spreading the virus."
b. "I need to avoid drinking fluids if I develop symptoms."
c. "I need a flu shot every 2 years cuz of the different flu strains."
d. "I should cover my mouth with my hand when I sneeze"
a. "I should wash my hands after blowing my nose to prevent spreading the virus."
ATI CH. 25 - Week 1 A nurse is assessing a client following a gunshot would to the chest. For which of the following findings should the nurse monitor to detect a pneumothorax? SATA
a. tachypnea
b. deviation of the trachea
c. bradycardia d. decreased use of accessory muscles
e. pleuritic pain
a. tachypnea
b. deviation of the trachea
e. pleuritic pain
ATI CH. 25 - Week 1 A nurse is assisting the provider to care for a client who has developed a spontaneous pneumothorax. Which of the following actions should the nurse perform first?
a. assess the client's pain
b. obtain a large-bore IV needle for decompression
c. administer lorazepam
d. prepare for chest tube insertion
b. obtain a large-bore IV needle for decompression
ATI CH. 25 - Week 1 A nurse is reviewing discharge instructions for a client who has COPD and experienced a pneumothorax. Which of the following statements should the nurse
include?
a. "Notify your provider if you experience weakness."
b. "You should be able to return to work in 1 week."
c. "You need to wear a mask when in crowded areas."
d. "Notify your provider if you experience a productive cough."
d. "Notify your provider if you experience a productive cough."
ATI CH. 25 - Week 1 A nurse in the emergency department is assessing a client who has sustained multiple rib fractures and has a flail chest. Which of the following findings should the nurse expect? SATA
a. bradycardia
b. cyanosis
c. hypotension
d. dyspnea
e. paradoxical chest movement b. cyanosis
c. hypotension
d. dyspnea
e. paradoxical chest movement
ATI CH 22 - Week 2
A nurse is providing discharge teaching to a client who has COPD and a new prescription for albuterol. Which of the following statements by the client indicates an understanding of the teaching? A. "This medication can increase my blood sugar levels."
B. "This medication can decrease my immune response."
C. "I can have an increase in my heart rate while taking this medication."
D. "I can have mouth sores while taking this medication."
C. "I can have an increase in my heart rate while taking this medication."
ATI CH 22 - Week 2
A nurse is preparing to administer a dose of a new prescription of prednisone to a client who has COPD. The nurse should monitor for which of the following adverse
effects of this medication? SATA
A. Hypokalemia
B. Tachycardia
C. Fluid retention
D. Nausea
E. Black, tarry stools
A. Hypokalemia
C. Fluid retention
E. Black, tarry stools
ATI CH 22 - Week 2
A nurse is discharging a client who has COPD. Upon discharge, the client is concerned that he will never be able to leave his house now that he is on continuous oxygen. Which of the following is an appropriate response by the nurse?
A. "There are portable oxygen delivery systems that you can take with you."
B. "When you go out, you can remove the oxygen and then reapply it when you get home."
2024
ATI CH. 20 - Week 1
A nurse is monitoring a group of clients for increased risk for developing pneumonia. Which of the following clients should the nurse expect to be at risk? SATA
A. client who has dysphagia
B. A client who has AIDS
C. Client who was vaccinated for pneumonoccous and influenza 6 months ago
D. Client who is postoperative and has received local anesthesia
E. Client who has a closed head injury and is receiving ventilation
F. Client who has myasthenia gravis
A. client who has dysphagia
B. A client who has AIDS
E. Client who has a closed head injury and is receiving ventilation
F. Client who has myasthenia gravis
ATI CH. 20 - Week 1 A nurse is caring for a client who, upon awakening, was disoriented to person, place, and time. The client reports chills and chest pain that is worse upon inspiration. Which of the following actions is the nursing priority? a. obtain baseline vital signs and oxygen saturation
b. obtain a sputum culture
c. obtain a complete history from the client
d. provide a pneumococcal vaccine
a. obtain baseline vital signs and oxygen saturation
ATI CH. 20 - Week 1
A nurse is caring for a pt who has pneumonia. assessment findings include temp 100 F, respirations 30/min, blood pressure 130/76, HR 100/min, and SaO2 @ 91% on room air. Prioritize the following nursing interventions into Stages 1-4 in order of operation.
Administer antibiotics Instruct the client to obtain a yearly influenza vaccine
Admin oxygen therapy
Perform a sputum cultured
Stage 1 = Admin oxygen therapy
Stage 2 = Perform a sputum cultured
Stage 3 = Administer antibiotics Stage 4 = Instruct the client to obtain a yearly influenza vaccine
ATI CH. 20 - Week 1
A nurse in a clinic is assessing a patient who has sinusitis. which of the following techniques should the nurse use to identify manifestations of this disorder? a. percussion of posterior lobes of lungs
b. auscultation of the trachea
c. inspection of the conjunctiva
d. palpation of the orbital areas
d. palpation of the orbital areas
ATI CH. 20 - Week 1
A nurse is teaching a group of patients about influenza. Which of the following patient statements indicates an understanding of the teaching?
a. "I should wash my hands after blowing my nose to prevent spreading the virus."
b. "I need to avoid drinking fluids if I develop symptoms."
c. "I need a flu shot every 2 years cuz of the different flu strains."
d. "I should cover my mouth with my hand when I sneeze"
a. "I should wash my hands after blowing my nose to prevent spreading the virus."
ATI CH. 25 - Week 1 A nurse is assessing a client following a gunshot would to the chest. For which of the following findings should the nurse monitor to detect a pneumothorax? SATA
a. tachypnea
b. deviation of the trachea
c. bradycardia d. decreased use of accessory muscles
e. pleuritic pain
a. tachypnea
b. deviation of the trachea
e. pleuritic pain
ATI CH. 25 - Week 1 A nurse is assisting the provider to care for a client who has developed a spontaneous pneumothorax. Which of the following actions should the nurse perform first?
a. assess the client's pain
b. obtain a large-bore IV needle for decompression
c. administer lorazepam
d. prepare for chest tube insertion
b. obtain a large-bore IV needle for decompression
ATI CH. 25 - Week 1 A nurse is reviewing discharge instructions for a client who has COPD and experienced a pneumothorax. Which of the following statements should the nurse
include?
a. "Notify your provider if you experience weakness."
b. "You should be able to return to work in 1 week."
c. "You need to wear a mask when in crowded areas."
d. "Notify your provider if you experience a productive cough."
d. "Notify your provider if you experience a productive cough."
ATI CH. 25 - Week 1 A nurse in the emergency department is assessing a client who has sustained multiple rib fractures and has a flail chest. Which of the following findings should the nurse expect? SATA
a. bradycardia
b. cyanosis
c. hypotension
d. dyspnea
e. paradoxical chest movement b. cyanosis
c. hypotension
d. dyspnea
e. paradoxical chest movement
ATI CH 22 - Week 2
A nurse is providing discharge teaching to a client who has COPD and a new prescription for albuterol. Which of the following statements by the client indicates an understanding of the teaching? A. "This medication can increase my blood sugar levels."
B. "This medication can decrease my immune response."
C. "I can have an increase in my heart rate while taking this medication."
D. "I can have mouth sores while taking this medication."
C. "I can have an increase in my heart rate while taking this medication."
ATI CH 22 - Week 2
A nurse is preparing to administer a dose of a new prescription of prednisone to a client who has COPD. The nurse should monitor for which of the following adverse
effects of this medication? SATA
A. Hypokalemia
B. Tachycardia
C. Fluid retention
D. Nausea
E. Black, tarry stools
A. Hypokalemia
C. Fluid retention
E. Black, tarry stools
ATI CH 22 - Week 2
A nurse is discharging a client who has COPD. Upon discharge, the client is concerned that he will never be able to leave his house now that he is on continuous oxygen. Which of the following is an appropriate response by the nurse?
A. "There are portable oxygen delivery systems that you can take with you."
B. "When you go out, you can remove the oxygen and then reapply it when you get home."
