ATI RN
ATI Nursing 232 Med Surg Exam Questions
Extract:
Question 1 of 5
A patient diagnosed with lung carcinoma is scheduled for a left pneumonectomy. Which nursing intervention should be prioritized in the immediate postoperative period?
Correct Answer: C
Rationale: Assessing the chest tube and pleur-evac is critical to monitor for complications like excessive bleeding or pneumothorax, ensuring lung re-expansion. Other interventions, while important, are secondary in the immediate postoperative period.
Question 2 of 5
A patient diagnosed with a pulmonary embolism is receiving a continuous Heparin infusion. Which findings should prompt the nurse to notify the healthcare provider?
Correct Answer: A,C,D
Rationale:
Choice A: Elevated PTT indicates excessive anticoagulation.
Choice C: Hematuria suggests bleeding.
Choice D: Dual anticoagulants increase bleeding risk.
Choice B is less urgent.
Question 3 of 5
A nurse is caring for a client who has a pneumothorax. The nurse is reviewing the client's medical record. What prescriptions should the nurse anticipate for a client who has a pneumothorax?
Correct Answer: A,B,C,D,E
Rationale:
Choices A, B, C, D, E: Thoracentesis, ABGs, CT, chest tube, and IV access are standard for pneumothorax management.
Choice F is incorrect as PFTs are not typically used acutely.
Question 4 of 5
During a central IV line insertion at the bedside, a client reports shortness of breath and becomes tachypneic. Which finding should a nurse suspect indicates the client developed a pneumothorax?
Correct Answer: C
Rationale: Absent breath sounds on the affected side indicate lung collapse due to pneumothorax, a common complication of central line insertion.
Question 5 of 5
A client has been diagnosed in the Emergency Department with acute respiratory distress syndrome (ARDS). Which of the following actions should a nurse perform first?
Correct Answer: C
Rationale: Intubation is the priority to ensure adequate oxygenation in ARDS, addressing the immediate life-threatening condition.