ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 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: C
Rationale: Repositioning the client can alleviate discomfort from the chest tube without risking complications.
Question 2 of 5
A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Slow, steady bubbling in the suction control chamber is normal; monitoring is appropriate.
Question 3 of 5
A nurse is caring for a client who has acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Severe dyspnea and hypotension (listed twice) are key signs of ARF due to impaired gas exchange.
Question 4 of 5
A nurse is monitoring the pulmonary artery wedge pressure (PAWP) for a client. The nurse should identify that a reading of 17 mm Hg is an indication of which of the following conditions?
Correct Answer: C
Rationale: A PAWP of 17 mm Hg (elevated) suggests increased left atrial pressure, commonly due to mitral regurgitation.
Question 5 of 5
A nurse in an emergency room is caring for a client who sustained partial-thickness burns to both lower legs, chest, face Hokkaido, and both forearms. Which of the following is the priority action the nurse should take?
Correct Answer: D
Rationale: Face burns raise concern for inhalation injury; inspecting the mouth assesses airway risk.