ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has returned from the surgical suite following surgery for a fractured mandible. The client had intermaxillary fixation to repair and stabilize the fracture. Which of the following actions is the priority for the nurse to take?
Correct Answer: B
Rationale: Preventing aspiration is the priority because the client may have difficulty swallowing or controlling their airway due to the surgical procedure and fixation of the jaw. The nurse should ensure the client's airway is clear and that they are positioned appropriately to prevent aspiration.
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.
Question 2 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?
| Options | Anticipated | Non-essential | Contraindicated |
|---|---|---|---|
| Obtain intravenous access | |||
| Thoracentesis | |||
| Prepare for insertion of a chest tube | |||
| Obtain ABGs (Arterial Blood Gases) | |||
| Computed tomography of the chest | |||
| Pulmonary function tests |
Correct Answer: A,C,D
Rationale: Obtaining IV access, preparing for a chest tube, and obtaining ABGs are anticipated for a pneumothorax to provide emergency access, remove air from the pleural space, and assess respiratory status. Thoracentesis and pulmonary function tests are contraindicated, and a CT scan is non-essential.
Extract:
Question 3 of 5
A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to promote thinning of respiratory secretions?
Correct Answer: C
Rationale: Increasing fluid intake is the most effective way to thin respiratory secretions. Fluids help to hydrate the mucous membranes, making the mucus less thick and easier to clear.
Question 4 of 5
A nurse is caring for a client who came to the emergency department reporting chest pain. The provider suspects a myocardial infarction. While waiting for the troponin levels report, the client asks what this blood test will show. Which of the following explanations should the nurse provide the client?
Correct Answer: C
Rationale: Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart. It is a highly sensitive and specific marker for myocardial injury, making it a critical test for diagnosing a myocardial infarction.
Question 5 of 5
A nurse is planning to calculate a client's cardiac output. Which of the following data should the nurse obtain to calculate the cardiac output?
Correct Answer: D
Rationale: Heart rate is one of the key components in calculating cardiac output, along with stroke volume. Cardiac output is calculated by multiplying the heart rate (beats per minute) by the stroke volume (the amount of blood pumped by the heart per beat). This provides the total amount of blood the heart pumps per minute.