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ATI Nursing 232 Med Surg Exam Questions

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Question 1 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 2 of 5

A nurse is caring for a patient who has just returned to the unit following a bronchoscopy and requests coffee. The nurse assesses that it is safe for the patient to resume oral liquids when which of the following behaviors is demonstrated?

Correct Answer: B

Rationale: Intact cough and swallowing reflexes are essential to prevent aspiration, the primary concern post-bronchoscopy before resuming oral intake.

Question 3 of 5

A nurse is caring for a patient who reports experiencing an alteration in sense of smell following surgery for a total laryngectomy. The nurse should address the patient's concern through which of the following responses?

Correct Answer: D

Rationale: A laryngectomy bypasses the nose, altering smell due to changed airflow, accurately addressing the patient's concern.

Question 4 of 5

A nurse is caring for a client diagnosed with adult respiratory distress syndrome (ARDS) and being treated with positive end expiratory pressure (PEEP). How does PEEP benefit the client?

Correct Answer: C

Rationale: PEEP maintains airway pressure to prevent alveolar collapse, improving oxygenation in ARDS.

Question 5 of 5

An employee asks the occupational health nurse about measures to prevent inhalation exposure of job-related substances. Which of the following explanations should the nurse include?

Correct Answer: D

Rationale: Designated protective devices, like respirators, are the most effective for preventing inhalation of toxic substances.

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