ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The rise and fall (tidaling) in the water-seal chamber reflect intrapleural pressure changes during breathing, a normal finding. An air leak causes bubbling, full re-expansion stops tidaling, and high suction affects the suction chamber, not water-seal.
Question 2 of 5
A charge nurse receives a call from the house supervisor requesting room assignments for four new clients. Based on the admission diagnoses, which of the following clients requires a private room?
Correct Answer: C
Rationale: Fever, night sweats, and cough suggest possible tuberculosis, requiring airborne isolation in a private room. Ketoacidosis, fractures, and pneumonia don't typically require private rooms unless contagious.
Question 3 of 5
A nurse is caring for a client who has emphysema. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: Pursed-lip breathing with prolonged exhalation (not inhalation) improves gas exchange in emphysema by preventing airway collapse. Low-flow oxygen, incentive spirometry, and adequate fluids are also appropriate but less specific.
Question 4 of 5
A charge nurse on a neurological unit is making room assignments for a group of clients. Which of the following clients should the nurse assign to the room closest to the nurses' station?
Correct Answer: D
Rationale: A Glasgow Coma Scale score of 10 indicates altered consciousness, requiring close monitoring for deterioration. A mild concussion, brain death, or resolved TIA are less acute, needing less immediate oversight.
Question 5 of 5
A nurse is planning care for a client who is 12 hr postoperative following a kidney transplant. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Hourly urine output monitoring detects early graft dysfunction, critical post-kidney transplant. Blood pressure checks should be more frequent, rejection causes other electrolyte issues, and IV opioids are preferred early post-op.