ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A nurse in the PACU is assessing a client who has an endotracheal (ET) tube in place and observes the absence of left-sided chest wall expansion upon respiration. Which of the following complications should the nurse suspect?
Correct Answer: B
Rationale: If the ET tube has moved into the right main bronchus, it will cause more air to enter the right lung and less to the left, leading to decreased left-sided chest wall expansion.
Question 2 of 5
A nurse is teaching an assistive personnel (AP) about the purpose of a footplate on the bed of a client whose leg is in Buck's traction. Which of the following statements indicates the AP understands the teaching?
Correct Answer: B
Rationale: The footplate helps to prevent foot drop by maintaining proper alignment of the foot and leg in Buck's traction.
Question 3 of 5
A nurse is caring for a client who has an epidural hematoma. Which of the following manifestations should the nurse expect?
Correct Answer: C
Rationale: An epidural hematoma often presents with a brief period of lucidity followed by a rapid decline in consciousness due to arterial bleeding.
Extract:
Medical History
Client reports an injury to their right ribs after falling 6 feet from a ladder. Client reports pain as 8 on a scale of 0 to 10 over the right lower rib cage with ecchymosis. Client is dyspneic and respirations are shallow. Client states, "It's hard for me to breathe."
Nurses' Notes
Client appears anxious and tachypneic. Respirations are labored and shallow. Lung sounds absent in the right lower lobe. Skin is cool and slightly cyanotic.
Vital Signs
Temperature 36.2° C (98.4° F) Pulse 120/min; regular
Respiratory rate 38/min
Blood pressure 92/64 mm Hg
O saturation 85% on room air
Question 4 of 5
A nurse is reviewing the client's medical record. Which of the following prescriptions should the nurse anticipate for a client who has a pneumothorax? For each potential provider's prescription, click to specify if the potential prescription is anticipated, non-essential, or contraindicated for the client.
| Options | Anticipated | Non-essential | Contraindicated |
|---|---|---|---|
| Obtain intravenous access | |||
| Thoracentesis | |||
| Pulmonary Function Tests (PFTS) | |||
| Prepare for insertion of a chest tube | |||
| Obtain ABGS | |||
| Computed tomography (CT) of the chest |
Correct Answer: A,D,E,F
Rationale: IV access, chest tube insertion, ABGs, and CT of the chest are anticipated to manage and diagnose the extent of the pneumothorax.
Extract:
Question 5 of 5
The healthcare provider prescribes regular insulin 8 units/hr intravenously (IV). The IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline. How many mL/hr should the nurse program the infusion pump? (Enter numerical value only.)
Correct Answer: B
Rationale: The solution is 100 units in 100 mL, or 1 unit/mL. For 8 units/hr, the pump should be set to 8 mL/hr.