Questions 41

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ATI RN Test Bank

ATI Med Surg Exam 1 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has a three-chamber closed chest tube system. Which of the following actions should the nurse take after noticing a rise in the water seal chamber with client inspiration?

Correct Answer: C

Rationale: A rise in the water seal chamber with inspiration is normal, indicating a functioning system. Notifying the provider, clamping, or repositioning is unnecessary unless complications like air leaks are present.

Question 2 of 5

A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply.)

Correct Answer: A,B,D

Rationale: Dyspnea, barrel chest, and clubbing are expected in emphysema due to air trapping, hyperinflation, and chronic hypoxia. Shallow, rapid breathing and tachycardia are typical, not deep respirations or bradycardia.

Question 3 of 5

A nurse is preparing to administer amoxicillin 500 mg PO every 12 hr. The amount available is amoxicillin 250 mg/5 mL suspension. How many mL should the nurse administer?

Correct Answer: 10 mL

Rationale: Using the formula (ordered dose/available dose) x available volume: (500 mg/250 mg) x 5 mL = 10 mL, ensuring accurate dosing.

Question 4 of 5

A nurse is monitoring a client who has a chest tube in place connected to wall suction due to a right-sided pneumothorax. The client complains of chest burning. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Repositioning addresses potential kinking or compression of the tube causing discomfort. Increasing suction, clamping, or stripping risks complications like tension pneumothorax or tissue damage.

Question 5 of 5

A nurse is caring for a client who has emphysema. Which of the following findings should the nurse expect to assess in this client? (Select all that apply)

Correct Answer: A,B,D

Rationale: Dyspnea, barrel chest, and clubbing are expected in emphysema due to air trapping, hyperinflation, and chronic hypoxia. Shallow, rapid breathing and tachycardia are typical, not deep respirations or bradycardia.

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