ATI RN
ATI Nurs285 Med Surg Exam Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a client who is receiving heparin 3,800 units subcutaneous daily. Available is heparin 5,000 units/mL. How many mL should the nurse administer?
Correct Answer: B
Rationale: Using the proportion: 3,800 units / 5,000 units/mL = 0.76 mL, rounded to 0.8 mL to the nearest tenth.
Question 3 of 5
A nurse is caring for a client diagnosed with a fractured left tibia and fibula. Which data should the nurse report to the healthcare provider immediately?
Correct Answer: C
Rationale: The absence of pedal pulses and increasing pain suggest compromised circulation, possibly due to compartment syndrome, a medical emergency requiring immediate intervention. Other findings are expected or less urgent.
Question 4 of 5
A client suffered a fractured femur and is scheduled for surgery one day after sustaining the injury. The client develops acute respiratory distress syndrome (ARDS) and the healthcare provider suspects fat embolism (FES) based on which of the following clinical manifestations? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Decreased PaO2 <60mmHg, decreased platelet count and hematocrit, and ECG changes (ST segment and T-wave) are clinical manifestations of fat embolism syndrome, indicating hypoxemia, DIC, and myocardial effects.
Question 5 of 5
A nurse is caring for a client who has multiple long bone fractures caused by a motor-vehicle crash that happened 24 hr ago. The client tells the nurse he is short of breath and experiencing chest pain. The nurse should assess the client further for which of the following potential complications?
Correct Answer: C
Rationale: Fat embolism syndrome is a serious complication of long bone fractures, presenting with respiratory distress and chest pain within 24-72 hours post-injury, matching the client's symptoms and timing.