ATI RN
ATI Med Surg Nursing 300 Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has a chest tube in place following a pneumothorax. Which assessment finding indicates that the chest tube is functioning properly?
Correct Answer: B
Rationale: Fluctuation (tidaling) in the water seal chamber with respirations indicates the chest tube is patent and functioning, reflecting pleural pressure changes.
Question 2 of 5
A client who is postoperative following a coronary artery bypass graft (CABG) has a blood pressure of 90/50 mmHg, heart rate of 112 beats/min, respiratory rate of 28 breaths/min, and an oxygen saturation of 90% on 2L of oxygen via nasal cannula. Which action should the nurse take first?
Correct Answer: A
Rationale: Low oxygen saturation (90%) indicates hypoxemia, a priority. Increasing oxygen to 4L addresses this immediately, before fluids, notification, or positioning.
Question 3 of 5
The nurse is assessing a client with a suspected pulmonary embolism. Which assessment finding is most indicative of this condition?
Correct Answer: B
Rationale: Pleuritic chest pain, worsened by breathing, is a hallmark of pulmonary embolism due to pleural irritation from emboli.
Question 4 of 5
The nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which assessment finding indicates a complication of TPN therapy?
Correct Answer: A
Rationale: Blood glucose of 180 mg/dL indicates hyperglycemia, a common TPN complication due to high dextrose content, requiring insulin or rate adjustment.
Question 5 of 5
A client who has been on a mechanical ventilator for three days develops a fever of 101 degrees Fahrenheit green sputum, and right lower lobe crackles. The nurse contacts the physician regarding possible development of which complication?
Correct Answer: A
Rationale: Fever, green sputum, and crackles suggest ventilator-associated pneumonia, a common complication after 48 hours on a ventilator.