ATI RN
Adult Medical Surgical ATI Questions
Question 1 of 5
A client is 12 hours postoperative following colon resection. Which of the following interventions should the nurse include in the plan to reduce respiratory complications?
Correct Answer: D
Rationale: The correct answer is D because splinting the incision supports coughing, which helps clear secretions and prevents respiratory complications. It is essential postoperatively to prevent atelectasis and pneumonia. Using an incentive spirometer (A) aids in lung expansion but does not directly support coughing. Ambulation (B) promotes circulation but does not address respiratory concerns. Maintaining a supine position with an abdominal binder (C) may restrict diaphragmatic movement and increase the risk of respiratory complications.
Question 2 of 5
When performing tracheostomy care, which intervention should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C: Secure new tracheostomy ties before removing old ones. This is essential to ensure the patient's airway remains stable and secure during the procedure. By securing the new ties first, the tracheostomy tube will not accidentally dislodge or become displaced. A: Using aseptic technique is important but not the immediate priority in this situation. B: Cleaning the inner cannula is a routine part of tracheostomy care but not the primary intervention during tie change. D: Applying suction when inserting the catheter is incorrect as suctioning should be performed after securing the new ties to maintain airway patency.
Question 3 of 5
A client is 1 day postoperative following a lobectomy with a chest tube drainage system in place. Which finding by the nurse indicates a need for intervention?
Correct Answer: D
Rationale: The correct answer is D: Development of subcutaneous emphysema. This finding indicates air leakage, which can lead to potential complications like tension pneumothorax. Subcutaneous emphysema is a serious concern that requires immediate intervention. A: Chest tube eyelets not visible - This is not a concerning finding as long as the chest tube is properly secured and functioning. B: Continuous bubbling in the suction control chamber - This can indicate proper functioning of the system. C: Presence of tidal fluctuation in the water seal chamber - This indicates that the system is working correctly, with the water seal chamber fluctuating with the patient's breathing.
Question 4 of 5
A healthcare professional is preparing to administer albuterol syrup 1.6 mg PO tid. Available is albuterol 2 mg/5mL. How many mL should the healthcare professional administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: A
Rationale: To determine the mL per dose of albuterol syrup, we need to calculate how many mL contain 1.6 mg of albuterol. Given that 2 mg of albuterol is in 5 mL of syrup, we can set up a proportion: 2 mg / 5 mL = 1.6 mg / x mL Cross-multiply to solve for x: 2 * x = 1.6 * 5 2x = 8 x = 4 mL Therefore, the correct answer is A: 4 mL. Choice B (6 mL) is incorrect because it does not match the calculated value. Choice C (10 mL) is incorrect as it is too high based on the calculation. Choice D (5.5 mL) is incorrect as it does not match the precise calculated value of 4 mL.
Question 5 of 5
A client is being treated for inhalational anthrax following bioterrorism exposure. Which of the following medications should NOT be expected as a common treatment for anthrax?
Correct Answer: D
Rationale: The correct answer is D, Penicillin G. Anthrax is caused by Bacillus anthracis, which is susceptible to ciprofloxacin and doxycycline. Penicillin and amoxicillin are not recommended due to the potential for B. anthracis to produce beta-lactamase, which can make the bacteria resistant to penicillin-based medications. Penicillin G is not effective in treating anthrax and should not be expected as a common treatment option.