ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is preparing to perform ocular irrigation for a client following a chemical splash to the eye. Which of the following actions should the nurse plan to take first?
Correct Answer: D
Rationale: Collecting information about the irritant guides appropriate irrigation. pH testing, anesthetic drops, and saline irrigation follow this step.
Question 2 of 5
A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Holding breaths for 3 to 5 seconds after inhaling with an incentive spirometer promotes lung expansion. Exhaling through pursed lips, placing hands on the abdomen, or positioning the mouthpiece 0.5 cm from the mouth are not correct instructions.
Question 3 of 5
A nurse is reviewing a cardiac rhythm strip of a client who has atrial flutter. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Atrial flutter shows a saw-tooth pattern with an atrial rate of 250-400/min on ECG. Longer PR durations, undetectable P waves, and absent PR intervals indicate other arrhythmias.
Question 4 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?
Correct Answer: C
Rationale: The rise and fall (tidaling) in the water-seal chamber is caused by normal respiratory pressure changes. Air leaks, full lung expansion, or high suction do not cause tidaling.
Question 5 of 5
A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect as an indication the wound is healing?
Correct Answer: A
Rationale: Dark red granulation tissue indicates new connective tissue and blood vessel formation, a sign of wound healing. Light yellow exudate may suggest infection, dry brown eschar is dead tissue that hinders healing, and firm wound tissue is not a specific healing indicator.