ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 of 5
A patient is admitted to the respiratory unit with flail chest. The nurse understands that a flail chest is:
Correct Answer: A
Rationale: Flail chest is characterized by multiple rib fractures creating a free-floating chest wall segment that moves paradoxically, impairing ventilation. Other options describe different conditions.
Question 2 of 5
A nurse is caring for a child who has a fracture of the forearm. The parent tells the nurse that the provider said it was a greenstick fracture and asks what that means. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: A greenstick fracture, common in children, involves the bone breaking on one side and bending on the other due to bone flexibility.
Question 3 of 5
A client receiving low molecular weight heparin subcutaneously to prevent DVT following hip replacement surgery reports to the nurse that she observed small purple hemorrhagic areas on the right and left sides of the abdomen. Which action should the nurse implement?
Correct Answer: B
Rationale: Small hemorrhagic areas (ecchymosis) at injection sites are a common side effect of low molecular weight heparin and do not require immediate escalation.
Question 4 of 5
A nurse is assessing a client who is 1 day postoperative following a lobectomy and has a chest tube drainage system in place. Which of the following findings by the nurse indicates a need for immediate notification?
Correct Answer: D
Rationale: Subcutaneous emphysema may indicate an air leak or improper chest tube placement, requiring immediate provider notification to prevent complications.
Question 5 of 5
A client had a right-sided chest tube inserted two hours ago for pneumothorax. Which action should the nurse implement if there is no fluctuation in the water seal compartment?
Correct Answer: A
Rationale: Lack of fluctuation in the water seal compartment may indicate kinks, obstructions, or lung re-expansion. The nurse should first check the chest tube system for issues before escalating or adjusting suction.