ATI RN
Free Medical Surgical Certification Practice Questions Questions
Question 1 of 5
A client is having a left pneumonectomy. In planning this client's postoperative care, nursing interventions for a postoperative left pneumonectomy would include:
Correct Answer: D
Rationale: Chest tubes are not usually necessary in a pneumonectomy, because there is no lung to re-expand on the operative side. The pneumonectomy client should be positioned on the back or operated side, because the sutured bronchial stump may open, which would allow fluid to drain into the unoperated side and drown the client. The client should not have a pillow under the shoulder and back, because of the subscapular incision. Rales are commonly heard over the base of the remaining lung. An increase could indicate circulatory overload. Rales should be closely monitored.
Question 2 of 5
The client has received preoperative teaching for a vertical partial laryngectomy. The nurse determines that the teaching has been effective when the client states:
Correct Answer: C
Rationale: Special swallowing training is required for a client with a supraglottic (horizontal partial) laryngectomy, not a vertical partial laryngectomy. The quality of the client's voice will be altered, but it will be adequate for communication. The client will have minimal difficulty swallowing. A radical neck dissection may be done with a total laryngectomy, not with a partial laryngectomy.
Question 3 of 5
This patient should be prioritized into which category?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 5
Which area of the ED is the most appropriate assignment for this nurse?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
What information should you immediately report to the physician?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.