ATI Detailed Answer Key Medical Surgical

ATI Detailed Answer Key Medical Surgical Related

Review ATI Detailed Answer Key Medical Surgical related questions and content

What information should be included as effective for preventing chronic bronchitis in a community presentation?

  • A. Maintenance of ideal weight
  • B. Annual influenza immunization
  • C. Smoking cessation
  • D. Regular moderate exercise
Correct Answer: C

Rationale: The correct answer is C: Smoking cessation. Chronic bronchitis is often caused by smoking. By quitting smoking, individuals can significantly reduce their risk of developing chronic bronchitis. This is the most effective prevention strategy.

A: Maintenance of ideal weight may have some benefits for overall health but is not directly linked to preventing chronic bronchitis.
B: Annual influenza immunization is important for preventing the flu, but it does not directly prevent chronic bronchitis.
D: Regular moderate exercise is beneficial for overall health, but it is not as directly related to preventing chronic bronchitis as smoking cessation.

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What piece of equipment should the nurse advise Mrs. Singer to have ready when her husband returns home?

  • A. An electronic artificial larynx
  • B. A humidifier
  • C. A television
  • D. A high-low bed
Correct Answer: B

Rationale: Humidifiers maintain moisture in the air, aiding breathing through the stoma.

The patient asks when she should take bisphosphonate medications for treatment of osteoporosis. You tell her

  • A. On a full stomach.
  • B. Just before getting into bed.
  • C. First thing in the morning on an empty stomach with a full glass of water, 30 to 60 minutes before eating, and without lying down.
  • D. With an acidic liquid such as orange juice.
Correct Answer: C

Rationale: Bisphosphonates require specific administration guidelines to enhance absorption.

An inflammatory bowel disorder in which the patient develops abdominal pain, bloody diarrhea, tenesmus (feeling of incomplete defecation), and weight loss is

  • A. Crohn's disease.
  • B. Diverticulitis.
  • C. Ulcerative colitis.
  • D. Appendicitis.
Correct Answer: C

Rationale: Ulcerative colitis typically presents with these symptoms.

A client in an emergency department has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?

  • A. Raise the foot of the bed to a 90° angle
  • B. Remove the dressing to inspect the wound
  • C. Prepare to insert a central line
  • D. Administer oxygen via nasal cannula
Correct Answer: D

Rationale: The correct answer is D: Administer oxygen via nasal cannula. In a client with a sucking chest wound, the priority is to ensure adequate oxygenation due to potential respiratory compromise. Administering oxygen via nasal cannula will help improve oxygenation and support the client's respiratory function. This action takes precedence over other interventions as hypoxia can lead to further deterioration.

A: Raising the foot of the bed to a 90° angle is not indicated in this situation as it does not address the immediate need for oxygenation.
B: Removing the dressing to inspect the wound can worsen the condition by disrupting any seals in place to prevent air from entering the chest cavity.
C: Preparing to insert a central line is not the priority in this situation as the client's respiratory status needs to be stabilized first.

Which of the following would be appropriate to delegate to the nursing assistant?

  • A. Assist the child to remove outer clothing
  • B. Advise the parent to use acetaminophen instead of aspirin
  • C. Explain the need for cool fluids
  • D. Prepare and administer a tepid bath
Correct Answer: A

Rationale: Removing outer clothing is a simple task that does not require clinical judgment.

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