ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A client suffered a fractured femur and is scheduled for surgery one day after sustaining the injury. The client develops acute respiratory distress syndrome (ARDS) and the healthcare provider suspects fat embolism (FES) based on which of the following clinical manifestations? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Decreased PaO2 <60mmHg, decreased platelet count and hematocrit, and ECG changes (ST segment and T-wave) are clinical manifestations of fat embolism syndrome, indicating hypoxemia, DIC, and myocardial effects.
Question 2 of 5
The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
Correct Answer: D
Rationale: Carvedilol, a non-selective beta-blocker, can exacerbate asthma symptoms by causing bronchoconstriction. In clients with asthma, beta-1 selective blockers are preferred, so clarification is needed. Fluticasone, amoxicillin, and isosorbide dinitrate do not pose direct risks in this context.
Question 3 of 5
The nurse is caring for a client diagnosed with end-stage chronic obstructive pulmonary disease (COPD). Which of the following data warrants immediate intervention by the nurse?
Correct Answer: C
Rationale: A respiratory rate of 28 breaths per minute indicates tachypnea and potential respiratory distress, requiring immediate assessment. Other findings are common or acceptable in end-stage COPD.
Question 4 of 5
The nurse is caring for a postoperative client who has a chest tube connected to suction and a water seal drainage system. Which of the following indicates to the nurse that the chest tube is functioning properly?
Correct Answer: B
Rationale: Fluctuation of the fluid level within the water seal chamber (tidaling) indicates proper chest tube function, reflecting changes in intrapleural pressure during respiration. Continuous bubbling suggests an air leak, and absence of fluid or equal drainage amounts are not specific indicators of functionality.
Extract:
Medical History
Nurses Notes
Diagnostic Results
Client is admitted to the rehabilitation unit following a hip fracture 7 days ago. Client has limited mobility and requires full assistance to turn and transfer out of bed.
Question 5 of 5
The client is at risk for developing [Pulmonary embolism] and [Deep vein thrombosis].
| Diarrhea |
| Hypocalcemia |
| Pulmonary embolism |
| Deep vein thrombosis |
| Diarrhea |
| Hypocalcemia |
| Hypertension |
Correct Answer: C,D
Rationale: Limited mobility and recent hip fracture increase the risk of deep vein thrombosis, which can lead to pulmonary embolism.