Exam 2 ATI questions
A pt. with no prior history of respiratory illness has been admitted to a post-surgical unit
after surgery. What intervention should the nurse prioritize in an effort to prevent post-op
PNA and atelectasis during this time of reduced mobility? - Teaching the patient to use
incentive spirometry
A patient's most recent blood work indicates K level of 7.2. What signs and symptoms
should the nurse monitor for? - Cardiac irregularities
A patient is admitted to the hospital with dehydration and a history of nausea, vomiting,
and diarrhea for several days. Which of the following lab findings would the nurse expect to
see? - INCREASED K WRONG
A RN evaluates a care plan made by an LPN for a client w COPD. Identify the element in the
care plan that is inappropriate. - Increase the prescribed O2 flow rate when SOB.
The nurse is developing a plan of care for a pt. admitted with PNA. The priority nursing
diagnosis is "ineffective airway clearance related to copious and tenacious secretions".
What is an appropriate nursing intervention? - Encouraging the patient to consume 2-3L of
clear fluids daily
The nurse has been closely monitoring a patient who has recently had her indwelling cath
removed. In the 6 hours since it was removed, the pt. has yet to void. How should the nurse
first respond? - Assess the patient's bladder by palpation and bedside US.
An older adult client in a LTC facility had a CVA 4 weeks ago and has been unable to move
independently since that time. The nurse should observe which finding that indicates a
complication of immobility? - Reddened area over the sacrum
A nurse is caring for a client w COPD. When developing this client's plan of care, the nurse
should include which intervention? - Instruct the patient to use pursed-lip breathing.
A nurse is caring for a client w asthma. The client is prescribed Flovent. Which is a
common adverse effect? - Oropharyngeal candidiasis
A nurse working in an ortho unit is caring for 4 clients. Which is at greatest risk for skin
breakdown? - An older adult client who has a hip fracture and is in Buck's traction
Regardless of the type of anemia, what major physiologic effect underlies the resulting
symptoms? - Reduced O2 availability for tissues
A nurse is providing discharge teaching for a client who has a new Rx for home O2. Which
of the following should the nurse give to the client? - Check the cord for frays or tearing,
A pt. with no prior history of respiratory illness has been admitted to a post-surgical unit
after surgery. What intervention should the nurse prioritize in an effort to prevent post-op
PNA and atelectasis during this time of reduced mobility? - Teaching the patient to use
incentive spirometry
A patient's most recent blood work indicates K level of 7.2. What signs and symptoms
should the nurse monitor for? - Cardiac irregularities
A patient is admitted to the hospital with dehydration and a history of nausea, vomiting,
and diarrhea for several days. Which of the following lab findings would the nurse expect to
see? - INCREASED K WRONG
A RN evaluates a care plan made by an LPN for a client w COPD. Identify the element in the
care plan that is inappropriate. - Increase the prescribed O2 flow rate when SOB.
The nurse is developing a plan of care for a pt. admitted with PNA. The priority nursing
diagnosis is "ineffective airway clearance related to copious and tenacious secretions".
What is an appropriate nursing intervention? - Encouraging the patient to consume 2-3L of
clear fluids daily
The nurse has been closely monitoring a patient who has recently had her indwelling cath
removed. In the 6 hours since it was removed, the pt. has yet to void. How should the nurse
first respond? - Assess the patient's bladder by palpation and bedside US.
An older adult client in a LTC facility had a CVA 4 weeks ago and has been unable to move
independently since that time. The nurse should observe which finding that indicates a
complication of immobility? - Reddened area over the sacrum
A nurse is caring for a client w COPD. When developing this client's plan of care, the nurse
should include which intervention? - Instruct the patient to use pursed-lip breathing.
A nurse is caring for a client w asthma. The client is prescribed Flovent. Which is a
common adverse effect? - Oropharyngeal candidiasis
A nurse working in an ortho unit is caring for 4 clients. Which is at greatest risk for skin
breakdown? - An older adult client who has a hip fracture and is in Buck's traction
Regardless of the type of anemia, what major physiologic effect underlies the resulting
symptoms? - Reduced O2 availability for tissues
A nurse is providing discharge teaching for a client who has a new Rx for home O2. Which
of the following should the nurse give to the client? - Check the cord for frays or tearing,
