Questions 87

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ATI RN Test Bank

ATI RN Adult Medical Surgical 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a client following an insertion of a chest tube drainage system for a pneumothorax. Which of the following manifestations should the nurse expect the client to demonstrate?

Correct Answer: A

Rationale: Gentle bubbling in the water seal chamber indicates the chest tube is functioning properly.

Question 2 of 5

A nurse is assessing a client who received a purified protein derivative (PPD) skin test 48 hr ago and notes erythema with induration of 12 mm at the injection site. Which of the following instructions should the nurse provide to the client?

Correct Answer: B

Rationale: A 12 mm induration indicates a positive TB test, requiring provider follow-up.

Question 3 of 5

A nurse is planning to meet with the interprofessional team about the care of a client who has a new diagnosis of ulcerative colitis. Which of the following recommendations should the nurse plan to make during the meeting?

Correct Answer: D

Rationale: Ulcerative colitis is a chronic inflammatory bowel disease that requires dietary management to control symptoms and promote healing, making a referral to a dietitian appropriate.

Extract:

Vital Signs
1000
Temperature 37.1° C (98.8° F)
Heart rate 110/min and irregular Respiratory rate 24/min Blood pressure 164/80 mm Hg
Oxygen saturation 93% on room air


Question 4 of 5

A nurse is admitting a client who reports tightness in their chest that radiates to left arm. The nurse is reviewing the client's medical record. Select the four findings that require immediate follow-up.

Correct Answer: C,D,E,G

Rationale: Elevated BP, pain, ECG changes, and troponin levels indicate a potential myocardial infarction.

Extract:


Question 5 of 5

A nurse is providing instructions to a client who has primary syphilis. Which of the following instructions should the nurse include in the discharge plan?

Correct Answer: D

Rationale: Follow-up blood tests monitor treatment efficacy for syphilis.

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