ATI MED SURG 1- ATI MED SURG 1 PROCTORED EXAM LATEST 2023

ATI MED SURG 1-
ATI MED SURG 1
PROCTORED EXAM
LATEST 2023




When a patient hospitalized with chronic obstructive
pulmonary disease (COPD) asks the nurse whether
oxygen use will be needed at home, which response
by the nurse is best? - ANSWER-"You will qualify for
supplemental oxygen therapy if your resting oxygen
saturation drops to 88%."
In which order will the patient need to take these
steps for effective huff coughing? - ANSWER-The
patient will initially sit upright in a comfortable
position that will allow deep breathing, then take a
deep breath and hold it for a few seconds to prepare
for the cough. Next, the patient will exhale forcefully
as if fogging a mirror, which will help mucus move
into the larger airways. The patient will repeat the
huff several more times to move mucus further into
the larger airways. When the patient feels mucus in
the airways, coughing is used to help expel mucus.
Which instruction will the nurse include in the diet
plan for a patient with chronic obstructive pulmonary
disease (COPD)? - ANSWER-"Eat ice cream every
day."
Which laboratory finding for a patient with chronic
obstructive pulmonary disease (COPD) is most
important to report to the health care provider? -
ANSWER-Partial pressure of carbon dioxide
(PaCO2) is 55 mm Hg
Which instruction will the nurse include when
teaching a patient with chronic obstructive
pulmonary disease (COPD) about use of
theophylline? - ANSWER-Take the medication with
food
When caring for a patient with chronic obstructive
pulmonary disease (COPD), which assessment
finding will the nurse expect? - ANSWER-Chronic
intermittent cough
Which postural drainage position will the nurse avoid
when caring for a patient with chronic obstructive
pulmonary disease and cor pulmonale? - ANSWERTrendelenburg position
Which explanation is likely when the nurse notes a
hemoglobin level of 20 g/dL in a patient admitted
with chronic obstructive pulmonary disease
(COPD)? - ANSWER-Hypoxia has stimulated
erythropoiesis
Which factor causes the clinical manifestations of
chronic obstructive pulmonary disease (COPD)? -
ANSWER-Inability to effectively expire air
Which are the predominant inflammatory cells in
chronic obstructive pulmonary disease (COPD)?
Select all that apply. - ANSWER-Neutrophils
Lymphocytes
Macrophages
Which actions will the nurse include when
performing chest physiotherapy on a patient with
chronic obstructive pulmonary disease? Select all
that apply. - ANSWER-Vibration
Percussion
Postural drainage
Which physiologic effect of ongoing tobacco
smoking leads to chronic obstructive pulmonary
disease (COPD)? - ANSWER-Respiratory tract cell
hyperplasia
When educating a patient with chronic obstructive
pulmonary disease (COPD) who continues to smoke
cigarettes, which complication of smoking would the
nurse discuss with the patient? - ANSWERCardiovascular disease