ATI RN
ATI n269 Med Surg Exam Questions
Extract:
Question 1 of 5
Mr. Jones is undergoing an open lung biopsy in the morning, and the nurse is educating the patient regarding the postoperative period. Which of the following statements should be included in the education?
Correct Answer: C
Rationale: A chest tube is commonly inserted after an open lung biopsy to allow the lung to re-expand and to drain air or fluid that may accumulate in the pleural space. This is a standard part of the postoperative care for this procedure.
Question 2 of 5
A nurse is caring for a client who is 12 hr postoperative and has a chest tube to a disposable water-seal drainage system with suction. The nurse should intervene for which of the following observations?
Correct Answer: B
Rationale: Continuous bubbling in the water-seal chamber is abnormal and indicates a potential air leak. The water-seal chamber should only bubble intermittently with respiratory effort or changes in pressure; constant bubbling suggests that air is being introduced into the system, which could indicate a malfunction or an air leak at the insertion site or along the tubing.
Question 3 of 5
Which response is best when a patient refuses a stool softener after pituitary surgery?
Correct Answer: C
Rationale: It is important you do not strain during bowel movements because this could result in increased pressure on your surgical site.: This is the correct response. Straining during bowel movements can increase ICP, which could potentially compromise healing or lead to complications after pituitary surgery.
Question 4 of 5
A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Hyperpigmentation is a characteristic sign of Addison's disease. Due to insufficient cortisol production in the adrenal glands, there is an increase in melanocyte-stimulating hormone (MSH), which leads to darkening of the skin, particularly in areas exposed to friction like elbows, knees, and the face.
Question 5 of 5
A nurse is caring for a client who is experiencing anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?
Correct Answer: C
Rationale: Epinephrine is the first-line treatment for anaphylactic shock. It works by rapidly reversing the effects of anaphylaxis, such as bronchoconstriction, vasodilation, and edema, by stimulating alpha and beta receptors. Epinephrine should be administered as soon as anaphylaxis is suspected to stabilize the patient's condition.