ATI Med-Surg 2022 (Multiple Response)

ATI Med-Surg 2022 (Multiple Response).docx


ATI Med-Surg Test s-Multiple Response

1. A nurse is collecting data from a client who has emphysema. Which of the following
findings should the nurse expect? (Select all that apply.)
1) Dyspnea
2) Barrel chest
3) Clubbing of the fingers
4) Shallow respirations
INCORRECT
5) Bradycardia
Answer Rationale:
Dyspnea is correct. Dyspnea is experienced by clients who have emphysema due to
inadequate oxygen exchange in the lungs.

Barrel chest is correct. The lungs of clients who have emphysema lose their
elasticity, and the diaphragm becomes permanently flattened by overdistention of the
lungs. The muscles of the rib cage also become rigid, and the ribs flare outward. This
produces the barrel chest typical of emphysema clients.

Clubbing of the fingers is correct. Air is trapped in the lungs due to their lack of
elasticity, which decreases oxygenation. Clubbing results from these chronic low blood-
oxygen levels.

Shallow respirations is correct. Clients who have emphysema lose lung elasticity;
consequently, respirations become increasingly shallow and more rapid.

Bradycardia is incorrect. The heart rate will increase as the heart tries to
compensate for less oxygen being delivered to the tissues.
2. A nurse is caring for a client who has Cushing's syndrome. Which of the following
clinical manifestations should the nurse expect to observe? (Select all that apply.)
1) Buffalo hump
2) Purple striations
3) Moon face
INCORRECT
4) Tremors
INCORRECT
5) Obese extremities
Answer Rationale:
Buffalo hump is correct. Cushing's syndrome is a disease caused by an increased
production of cortisol or by excessive use of corticosteroids. Buffalo hump, a collection
of fat between the shoulders, is a common manifestation of Cushing's syndrome.Purple
striations is correct. Purple striations on the skin of the abdomen, thighs, and breasts
are a common manifestation of Cushing's syndrome. This is due to the collection of
body fat in these areas.Moon face is correct. Moon face is a common manifestation of
ATI Med-Surg 2022 (Multiple Response).docx


Cushing's syndrome. Clients who have this manifestation present with a round, red, full
face.Tremors is incorrect. Tremors are not a common finding of Cushing's
syndrome.Obese extremities is incorrect. Clients who have Cushing's syndrome
have truncal obesity, a protuberant abdomen, with thin extremities, which is due to an
alteration in protein metabolism.
3. A nurse is assisting with the care of a client immediately following a lumbar puncture.
Which of the following actions shou