ATI RN
ATI Advanced Med Surg Exam 3 Questions
Extract:
Question 1 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: B
Rationale: Slow, steady bubbling in the suction control chamber is normal, so continued monitoring of respiratory status is appropriate.
Question 2 of 5
A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alterations?
Correct Answer: B
Rationale: Cheyne-Stokes respirations involve alternating hyperventilation and apnea, often seen in neurological or heart failure conditions.
Question 3 of 5
A patient with respiratory failure has a respiratory rate of 6 breaths/min and an oxygen saturation (SpO2) of 78%. The patient is increasingly lethargic. Which intervention will the nurse anticipate?
Correct Answer: B
Rationale: Severe respiratory failure with low respiratory rate and SpO2 requires endotracheal intubation to ensure adequate ventilation and oxygenation.
Question 4 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: B
Rationale: Slow, steady bubbling in the suction control chamber is normal, so continued monitoring of respiratory status is appropriate.
Question 5 of 5
A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Which of the following actions should the nurse take to reduce the risk of ventilator-associated pneumonia?
Correct Answer: D
Rationale: Regular oral hygiene with a suction toothbrush reduces bacterial load, decreasing the risk of ventilator-associated pneumonia.