ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
The nurse is caring for a postoperative client who has a chest tube connected to suction and a water seal drainage system. Which of the following indicates to the nurse that the chest tube is functioning properly?
Correct Answer: B
Rationale: Fluctuation in the water seal chamber indicates the chest tube is patent and functioning, reflecting normal respiratory pressure changes.
Question 2 of 5
A nurse is reviewing the arterial blood gas values for a client. The pH is 7.32, PaCO2 is 48 mm Hg and the HCO3 is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid-base imbalances?
Correct Answer: A
Rationale: pH 7.32 (low), PaCO2 48 mm Hg (high), and normal HCO3 indicate respiratory acidosis from CO2 retention.
Question 3 of 5
A nurse is monitoring a client who has a chest tube in place connected to wall suction due to a right-sided pneumothorax. The client complains of chest burning. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Repositioning the client can alleviate discomfort from the chest tube without risking complications.
Question 4 of 5
A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Tachypnea and hypotension indicate hypoxemia; oxygen administration is the priority.
Question 5 of 5
A nurse working for a home health agency is assessing an older adult male client. Which of the following findings is the priority for the nurse to address?
Correct Answer: B
Rationale: Dysphagia poses an immediate risk of aspiration and airway compromise, making it the priority.