ATI MED SURG 2 EXAM 4 VERSION 2025/2026 NEWEST
ACTUAL EXAM WITH COMPLETE QUESTIONS AND
VERIFIED ANSWERS |ALREADY GRADED A+|
A patient diagnosed with acute respiratory distress syndrome
(ARDS) is restless and has low oxygen saturation level. If the
patient;s condition does not improve and the oxygen saturation
level continues to decrease, what procedure will the nurse expect
to assist with in order to assist the patient to breath easier?
a. administer a large dose of lasix
b. increase oxygen administration
c. intubate the patient for controlled breathing with mechanical
ventilation
d. schedule the patient for pulmonary surgery -ANSWERS-c.
A patient suspected of developing ARDS is experiencing anxiety
and agitation due to increased hypoxia and dyspnea. The nurse
would implement which of the following interventions to improve
oxygenation and provide comfort for the patient?
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a. administer small doses of pancuronium
b. assist up to chair
c. force fluids
d. position the patient in tripod -ANSWERS-d.
The nurse is administering blood to a patient. 15 minutes after the
transfusion of PRBC is started, the patient complains of back pain
and dyspnea. The pulse rate is 124. What should the nurse do
first?
a. administer oxygen therapy at high flow rate
b. notify the health care provider about the symptoms
c. disconnect the transfusion and infuse normal saline
d. obtain a urine sample to send to lab -ANSWERS-c.
A nurse is providing care to a terminally ill patient. What
interventions would facilitate culturally competent care?
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a. speak with the oldest male of the family about any decision
making issues
b. ensure all members of the family are at bedside
c. ask all coworkers that share the same culture of the patient for
cultural preferences
d. have the patient and family members identify cultural
preferences for care -ANSWERS-d.
The nurse is caring for a terminally ill young woman from a middle
eastern country. Her parents ask that she be allowed to wear a
special garment and head dress instead of a hospital gown. The
parents will not be there every day to apply the attire. What action
by the nurse demonstrates cultural competence?
a. encourage parents to dress the patient whenever they are
present
b. inform the parents that hospital policy requires patients to wear
gowns
c. learn how to apply the garment and head dress properly
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d. consult the chaplain for an explanation of the ritual attire in the
middle east -ANSWERS-c.
A patient arrives in the emergency department after exposure to
radioactive dust. What action should the nurse take first?
a. determine the type of radioactive agent
b. place the patient in the shower
c. obtain patient vitals
d. obtain baseline CBC -ANSWERS-b.
When admitting a patient with an MI to the ICU, which action
should the nurse do first?
a. listen to lung sounds
b. apply a cardiac monitor
c. auscultate the breath sounds
d. obtain blood pressure -ANSWERS-b.