ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Medical History
75-year-old male who reports increased dyspnea x 4 days. Denies cough or fever.
Past medical history: Two pack a day smoker for 50 years. Diagnosed with lung cancer 4 years ago and treated. Over the last year has developed frequent pleural effusions treated with thoracentesis. Hypertension.
Surgical history: Right lower lobectomy 4 years ago. Left hernia repair 25 years ago.
Nurses' Notes:
1000:
Alert and oriented x3. Reports difficulty breathing.
Respirations 28/min and labored.
Oxygen saturation 91%
Crackles auscultated left lung base. Fremitus decreased left chest wall.
1200:
Thoracentesis performed by provider.
1,000 mL cloudy yellow fluid removed, labeled and sent to lab for testing.
Dressing applied to puncture site.
Respiratory rate 24/min and regular. Oxygen saturation 95%
Question 1 of 5
The nurse is caring for the client following a thoracentesis. (Select the 3 findings that require immediate follow-up.)
Correct Answer: A,B,D
Rationale: Decreased lung sounds, heart rate 110/min, and subcutaneous emphysema indicate potential complications like pneumothorax or procedure-related issues requiring immediate follow-up.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: