ATI RN
ATI n269 Med Surg Exam Questions
Extract:
Question 1 of 5
The nurse suspects which cause of increased bubbling in the water seal chamber of a patient's chest drainage unit?
Correct Answer: C
Rationale: A bronchopleural leak is the most likely cause of increased bubbling in the water seal chamber. This occurs when there is an air leak between the lungs and pleural space, causing continuous air to enter the chest drainage system.
Question 2 of 5
A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during assessment? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Enlarged distal extremities, hepatomegaly, and coarse facial features are classic symptoms of acromegaly due to excessive growth hormone production.
Question 3 of 5
A patient who is scheduled for gastric bypass surgery asks for information about dumping syndrome. How does the nurse explain dumping syndrome?
Correct Answer: C
Rationale: Dumping syndrome occurs when food moves too quickly from the stomach into the small intestine, causing a sudden release of insulin and other gastrointestinal symptoms, such as nausea, diarrhea, and dizziness.
Question 4 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 5 of 5
A nurse is assessing a client to identify risk factors for disease. Which of the following findings is a risk factor for metabolic syndrome?
Correct Answer: C
Rationale: A large waist size is a significant risk factor for metabolic syndrome, as it is one of the key components in diagnosing the syndrome. Abdominal obesity (visceral fat) is strongly associated with insulin resistance, high cholesterol, and increased cardiovascular risk.