ATI Medical Surgical Proctored Exam

ATI Medical Surgical Proctored Exam Related

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A healthcare professional assesses a client's respiratory status. Which information is of highest priority for the healthcare professional to obtain?

  • A. Average daily fluid intake
  • B. Neck circumference
  • C. Height & weight
  • D. Occupation & hobbies
Correct Answer: D

Rationale: The correct answer is D: Occupation & hobbies. This information is crucial as certain occupations or hobbies may expose the client to respiratory hazards, influencing their respiratory status. The healthcare professional needs to assess potential respiratory risks in the client's environment.

A: Average daily fluid intake is important for overall health but not directly related to respiratory status assessment.
B: Neck circumference is more relevant for assessing risk of obstructive sleep apnea rather than overall respiratory status.
C: Height & weight are important for assessing overall health and potential respiratory issues like obesity, but not as immediate as assessing respiratory hazards in the client's daily activities.

You may also like to solve these questions

What is your most appropriate response to Mr. Brown suspecting tuberculosis?

  • A. Unless you have symptoms you could not have tuberculosis
  • B. Have you ever had a skin test for tuberculosis?
  • C. A routine chest x-ray will determine if you have tuberculosis
  • D. Your neighbor could not infect you if he has been following his treatment regimen
Correct Answer: B

Rationale: A tuberculin skin test detects latent TB infection, even without symptoms.

Lack of bubbling in the suction control chamber indicates

  • A. Excessive negative pressure (suction)
  • B. A leak somewhere in the drainage system, as within the patient
  • C. A kink or plug in the drainage tubing
  • D. The patient’s lung has reexpanded
Correct Answer: D

Rationale: Reexpanded lungs stop air leakage into the drainage system.

A client with cirrhosis is experiencing ascites. Which dietary instruction should the nurse provide?

  • A. Increase protein intake.
  • B. Limit fluid intake to 1500 mL/day.
  • C. Consume a low-sodium diet.
  • D. Take a daily multivitamin.
Correct Answer: C

Rationale: The correct answer is C: Consume a low-sodium diet. Ascites in cirrhosis is often due to fluid retention caused by impaired liver function. A low-sodium diet helps to reduce fluid buildup in the body, alleviating ascites. Increasing protein intake (A) may worsen ascites by increasing fluid retention. Limiting fluid intake (B) can lead to dehydration, exacerbating the condition. Taking a daily multivitamin (D) may be beneficial for overall health but does not directly address ascites.

What nursing action is most important initially for Ms. Jenkins with pneumococcal pneumonia?

  • A. Administer humidified oxygen, as ordered
  • B. Obtain an order for aspirin
  • C. Auscultate the posterior basal segments for rales and rhonchi
  • D. Explain the diagnosis to the patient
Correct Answer: A

Rationale: Oxygen therapy addresses hypoxemia, a primary concern in pneumonia.

A client is hospitalized with a second episode of pulmonary embolism (PE). Recent genetic testing reveals the client has an alteration in the gene CYP2C19. What action by the nurse is best?

  • A. Instruct the client to eliminate all vitamin K from the diet.
  • B. Prepare preoperative teaching for an inferior vena cava (IVC) filter.
  • C. Refer the client to a chronic illness support group.
  • D. Teach the client to use a soft-bristled toothbrush.
Correct Answer: B

Rationale: The correct answer is B: Prepare preoperative teaching for an inferior vena cava (IVC) filter. In the context of a client with an alteration in the gene CYP2C19 and recurrent pulmonary embolism, the use of an IVC filter helps prevent blood clots from traveling to the lungs. This intervention is crucial in managing the risk of further pulmonary embolism. Teaching the client about the purpose, care, and potential complications of the IVC filter is essential for their understanding and cooperation in the treatment plan.

Incorrect Choices:
A: Instruct the client to eliminate all vitamin K from the diet. This choice is not relevant to the management of recurrent pulmonary embolism associated with a genetic alteration.
C: Refer the client to a chronic illness support group. While support is important, it is not the immediate priority in this case of managing a recurrent PE.
D: Teach the client to use a soft-bristled toothbrush. This recommendation is not directly

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