ATI RN
Free Medical Surgical Certification Practice Questions Questions
Question 1 of 5
A nurse assesses a client who has a mediastinal chest tube. Which symptoms require the nurse's immediate intervention? (Select ONE that does not apply)
Correct Answer: A
Rationale: The correct answer is A: Production of pink sputum. Pink sputum can indicate bleeding, which is a serious complication with a mediastinal chest tube. Immediate intervention is needed to prevent further complications. Tracheal deviation (B) can indicate tension pneumothorax, requiring immediate intervention. Pain at insertion site (C) may indicate infection or dislodgement, also needing prompt attention. Sudden onset of shortness of breath (D) can suggest a pneumothorax, which requires immediate intervention as well. However, the production of pink sputum is the most critical due to the potential for severe complications like hemorrhage.
Question 2 of 5
A healthcare provider collaborates with a respiratory therapist to complete pulmonary function tests (PFTs) for a client. Which statements should the healthcare provider include in communications with the respiratory therapist prior to the tests? (Select ONE that does not apply)
Correct Answer: C
Rationale: Correct Answer: C Rationale: - Option C, stating that physical therapy has approved the client for treadmill exercise, is unrelated to pulmonary function tests (PFTs). PFTs measure lung function, not physical therapy or exercise tolerance. - Options A, B, and D are all essential for accurate PFT results. A) Ensuring the client did not use bronchodilators can affect test outcomes. B) The location for the examination is not relevant as long as the equipment is available. D) Instructing the client not to smoke before the test is crucial as smoking can affect lung function.
Question 3 of 5
A client interested in smoking cessation is being taught by a nurse. Which statements should the nurse include in the teaching? (Select one that does not apply)
Correct Answer: C
Rationale: The correct answer is C: Drink at least eight glasses of water each day. This statement does not directly relate to smoking cessation. Staying hydrated is important for overall health, but it is not a specific strategy for quitting smoking. Choices A, B, and D are all relevant to smoking cessation. A: Finding an activity to keep hands busy can help distract from the urge to smoke. B: Keeping snacks on hand can help manage cravings and replace the oral fixation of smoking. D: Making a list of reasons for quitting can provide motivation and remind the client of their goals.
Question 4 of 5
A client with chronic obstructive pulmonary disease (COPD) is being assessed by a nurse. Which finding should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Increased anterior-posterior (AP) chest diameter. In COPD, the lungs lose their elasticity, trapping air and causing hyperinflation. This leads to increased AP chest diameter due to barrel chest appearance. Option B is incorrect because COPD often results in an increased respiratory rate due to difficulty breathing. Option C is incorrect as weight gain is not a typical finding in COPD, which is often associated with weight loss. Option D is incorrect as a productive cough with yellow sputum is more commonly seen in respiratory infections rather than COPD exacerbations.
Question 5 of 5
A client with asthma is being taught about peak flow meter use. Which statement by the client indicates understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because using the peak flow meter every morning provides a baseline measurement of lung function when the client is typically stable. This allows for early detection of changes and adjustment of treatment. Choice B is incorrect as waiting until feeling short of breath may be too late. Choice C is incorrect because using the peak flow meter before the inhaler may not provide an accurate measurement. Choice D is incorrect as using the peak flow meter after the inhaler may not reflect the true lung function.