ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck's extension traction. The nurse should include which of the following information in the teaching?
Correct Answer: C
Rationale: Buck's traction relieves muscle spasms and maintains alignment, reducing pain and preventing further injury in hip fractures.
Extract:
Medical History
Nurses' Notes
Vital Signs
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? For each potential provider's prescription, click to specify if the potential prescription is anticipated, non-essential, or contraindicated for the client.
| Options | Anticipated | Non- essential | Contraindicated |
|---|---|---|---|
| Obtain intravenous access: Anticipated | |||
| Computed tomography (CT) of the chest: Anticipated | |||
| Thoracentesis: Non-essential | |||
| Obtain ABGs (Arterial Blood Gases): Anticipated | |||
| Pulmonary Function Tests (PFTs): Contraindicated | |||
| Prepare for insertion of a chest tube: Anticipated |
Correct Answer: A,B,D,F
Rationale: IV access, CT chest, ABGs, and chest tube insertion are anticipated for pneumothorax management. Thoracentesis is non-essential as it addresses fluid, not air. PFTs are contraindicated in acute settings.
Extract:
Question 3 of 5
A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first?
Correct Answer: B
Rationale: Administering oxygen therapy is the priority to address hypoxemia caused by pulmonary embolism, improving tissue oxygenation while other interventions are initiated.
Question 4 of 5
A nurse is preparing to infuse 1 liter of 0.9% sodium chloride IV over 8 hr with a tubing set that delivers 15 gtts/mL. The nurse should set the manual IV infusion to deliver how many drops/min?
Correct Answer: A
Rationale: Using the formula: (
Total volume in mL × Drop factor) /
Total infusion time in minutes = Drops/minute, we calculate (1000 mL × 15 gtts/mL) / 480 minutes = 31.25 gtts/minute, which rounds to 31 gtts/minute.
Question 5 of 5
Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic obstructive pulmonary disease (COPD). Which intervention should the nurse include in the plan of care?
Correct Answer: A
Rationale: Administering a bronchodilator before postural drainage opens airways, enhancing secretion clearance. Fluid restriction is inappropriate, deep breathing is secondary, and supine positioning is not ideal.