Questions 49

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ATI RN Test Bank

ATI Med Surg Nurs 300 Day Exam 4 Questions

Extract:


Question 1 of 5

What is the first action the nurse should take with the accidental dislodgement of a chest tube?

Correct Answer: C

Rationale: Sealing the chest tube site with a sterile dressing taped on three sides is the immediate priority to prevent pneumothorax by creating a one-way valve.

Question 2 of 5

The physician orders 500 mg PO of medication. The Medication is supplied as a suspension 125 mg/5mL. How many mL will the nurse administer for one dose? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: A

Rationale: The dose is 500 mg, and the suspension is 125 mg/5 mL. Proportion: 125 mg / 5 mL = 500 mg / x mL. Solving gives x = 20 mL.

Question 3 of 5

What is the first action the nurse should take with the accidental dislodgement of a chest tube?

Correct Answer: C

Rationale: Applying a sterile dressing taped on three sides prevents air entry into the pleural space, reducing pneumothorax risk until further intervention.

Question 4 of 5

The nurse is caring for a client diagnosed with pneumonia. Which medication will the nurse administer for treatment of client's problem of ineffective airway clearance?

Correct Answer: C

Rationale: Guaifenesin is an expectorant that helps loosen mucus, facilitating productive coughing to clear airways in pneumonia.

Question 5 of 5

The nurse is caring for a client with the following arterial blood gas (ABG) results: pH 7.17, PaCO2 47 mmHg, Pa02 82 mmHg, HCO3 29 mEq/L. The nurse would interpret these results as:

Correct Answer: B

Rationale: Low pH (7.17) and high PaCO2 (47 mmHg) indicate respiratory acidosis, with elevated HCO3 (29 mEq/L) showing partial compensation.

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