ATI RN Adult Medical Surgical 2023 IV

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?

A. This means your lung is fully re-expanded.B. Suction pressure that is too high causes this.C. This indicates a possible air leak.D. Your breathing pattern causes this.

Correct Answer: D

Rationale: Fluctuation in the water-seal chamber (
D) reflects normal intrapleural pressure changes with breathing. Full re-expansion (
A), high suction (
B), or air leaks (
C) have different signs.

Question 2 of 5

A nurse is caring for a client immediately following a cardiac catheterization through the right femoral artery. Which of the following actions should the nurse take?

A. Instruct the client not to bend the affected legB. Restrict the client's fluid intake.C. Elevate the head of the client's bed to a 45° angle.D. Monitor the client's vital signs once every hour.

Correct Answer: A

Rationale: Keeping the leg straight (
A) prevents bleeding or hematoma at the femoral puncture site. Fluid restriction (
B) is unnecessary, elevating the bed to 45° (
C) may increase bleeding risk, and vital signs (
D) are typically monitored more frequently post-procedure.

Question 3 of 5

A nurse manager is providing an in-service to a group of newly licensed nurses about the use of personal protective equipment. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?

A. I should wear goggles when irrigating a wound.B. I should wear a gown to remove linens from a client's bed.C. Sterile gloves are required when administering an IM injection.D. I should use both hands to recap a needle.

Correct Answer: A

Rationale: Goggles (
A) protect against splashes during wound irrigation. Gowns (
B) are not needed for linens unless soiled, sterile gloves (
C) are for procedures, and recapping needles (
D) is unsafe.

Question 4 of 5

A nurse is planning care for a client who is postoperative following insertion of an arteriovenous graft in their left forearm. Which of the following actions should the nurse include in the plan of care?

A. Collect blood specimens from the graft.B. Check the pulse distal to the graft.C. Splint the left forearm to prevent damage to the graft.D. Keep the left forearm below the level of the heart.

Correct Answer: B

Rationale: Checking the distal pulse (
B) ensures graft patency and circulation. Blood draws from the graft (
A) risk damage, splinting (
C) is unnecessary, and elevation, not lowering (
D), is standard.

Question 5 of 5

A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications?

A. FurosemideB. NitroprussideC. DesmopressinD. Epinephrine

Correct Answer: C

Rationale: High urine output and thirst suggest diabetes insipidus from brainstem injury, treated with desmopressin (
C). Furosemide (
A), nitroprusside (
B), and epinephrine (
D) do not address this condition.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN