ATI RN
ATI Detailed Answer Key Medical Surgical Questions
Question 1 of 5
A client is 1-day postoperative following a left lower lobectomy and has a chest tube in place. When assessing the client's three-chamber drainage system, the nurse notes that there is no bubbling in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Verify that the suction regulator is on and check the tubing for leaks. Rationale: 1. Lack of bubbling in the suction control chamber indicates suction may not be working. 2. Checking the suction regulator ensures it is on and at the correct level for proper drainage. 3. Checking tubing for leaks ensures the system is intact and functioning properly. 4. This intervention addresses the potential issue of inadequate suction, which can affect the client's postoperative recovery. Summary: - Option A: Continuing to monitor is not appropriate as lack of bubbling suggests an issue with suction. - Option B: Adding more water to the suction control chamber is unnecessary and does not address the root cause. - Option D: Milking the chest tube is not recommended as it can cause trauma and dislodging clots may lead to complications.
Question 2 of 5
Why is it important for a nurse to move a victim of a common respiratory toxin to higher ground immediately?
Correct Answer: B
Rationale: The correct answer is B because many respiratory toxins are heavier than air and settle near the ground.
Question 3 of 5
What is your priority intervention for this patient?
Correct Answer: A
Rationale: Ensuring the patient's safety by arranging transportation to a safe house is the top priority.
Question 4 of 5
While caring for a patient following an uvulopalatopharyngoplasty (UPPP), the nurse monitors the patient for which complications in the immediate postoperative period?
Correct Answer: D
Rationale: The correct answer is D. Airway obstruction and hemorrhage are critical complications to monitor after UPPP. Snoring (A) may persist initially, infection (B) is less common, and voice loss (C) is rare.
Question 5 of 5
A client is scheduled for a pneumonectomy in the morning. The client has had a previous negative surgical experience, is talking rapidly, and has an increased pulse and respiratory rate. Nursing interventions for this client should include:
Correct Answer: A
Rationale: Providing an opportunity for an open discussion will help to clarify any misunderstandings about the surgery and gives the client a chance to verbalize any concerns about the surgery. Distractions will not alleviate the client's preoperative anxiety; it denies the anxiety the client is experiencing. Giving false assurance is not appropriate and it denies that anxiety is a normal response to the threat of surgery. Psychological responses are not directly related to the severity of the surgery; they are influenced by the client's experience.