ATI MEDSURG PROCTORED EXAM
2024 ACTUAL EXAM 3 VERSIONS
WITH 400+ QUESTIONS WITH
DETAILED VERIFIED ANSWERS AND
RATIONALE /A+ GRADE
A nurse is
... [Show More] caring for a client who is scheduled for a
thoracentesis. Prior to the procedure, which of the
following actions should the nurse take?
A. Position the client in an upright position, leaning over
the bedside table.
B. Explain the procedure to the client.
C. Obtain ABGs from the client.
D. Administer benzocaine spray to the client -
...ANSWER...A. Position the client in an upright position,
leaning over the bedside table.
A nurse is assessing a client who is in respiratory
distress. The nurse should recognize that which of the
following can cause a low pulse oximetry reading?
(Select all that apply.)
A. Nail polish
B. Inadequate peripheral circulation
C. Hyperthermia
D. Increased Hgb level
E. Edema - ...ANSWER.... Nail polish
B. Inadequate peripheral circulation
E. Edema
A nurse is assessing a client following a bronchoscopy.
Which of the following findings should the nurse
report to the provider?
A. Blood-tinged sputum
B. Dry, nonproductive cough
C. Sore throat
D. Bronchospasms - ...ANSWER...D. Bronchospasms
A nurse is caring for a client who is scheduled for a
thoracentesis. Which of the following supplies
should the nurse ensure is in the client's room? (Select
all that apply.)
A. Oxygen equipment
B. Incentive spirometer
C. Pulse oximeter
D. Sterile dressing
E. Suture removal kit - ...ANSWER...A. Oxygen
equipment
C. Pulse oximeter
D. Sterile dressing
A nurse is caring for a client following a thoracentesis.
Which of the following clinical manifestations
should the nurse recognize as risks for complications?
(Select all that apply.)
A. Dyspnea
B. Localized bloody drainage on the dressing
C. Fever
D. Hypotension
E. Report of pain at the puncture site - ...ANSWER...A.
Dyspnea
C. Fever
D. Hypotension
A nurse is preparing to care for a client following chest
tube placement. Which of the following items
should be available in the client's room? (Select all that
apply.)
A. Oxygen
B. Sterile water
C. Enclosed hemostat clamps
D. Indwelling urinary catheter
E. Occlusive dressing - ...ANSWER...A. Oxygen
B. Sterile water
C. Enclosed hemostat clamps
E. Occlusive dressing
A nurse is caring for a client who has a chest tube and
drainage system in place. The nurse observes that
the client's chest tube was accidentally removed. Which
of the following actions should the nurse take first?
A. Place the tubing in sterile water to restore the water
seal.
B. Apply sterile gauze to the insertion site.
C. Place tape around the insertion site.
D. Assess the client's respiratory status. -
...ANSWER...B. Apply sterile gauze to the insertion site.
A nurse is assessing a client who has a chest tube and
drainage system in place. Which of the following
are expected findings? (Select all that apply.)
A. Continuous bubbling in the water seal chamber
B. Gentle constant bubbling in the suction control
chamber
C. Rise and fall in the level of water in the water seal
chamber with inspiration
and expiration
D. Exposed sutures without dressing
E. Drainage system upright at chest level -
...ANSWER...B. Gentle constant bubbling in the suction
control chamber
C. Rise and fall in the level of water in the water seal
chamber with inspiration
and expiration
A nurse is assisting a provider with the removal of a
chest tube. Which of the following should the nurse
instruct the client to do?
A. Lie on his left side.
B. Use the incentive spirometer.
C. Cough at regular intervals.
D. Perform the Valsalva maneuver - ...ANSWER...D.
Perform the Valsalva maneuver
A nurse is planning care for a client following the
insertion of a chest tube and drainage system. Which
of the following should be included in the plan of care?
(Select all that apply.)
A. Encourage the client to cough every 2 hr.
B. Check for continuous bubbling in the suction
chamber.
C. Strip the drainage tubing every 4 hr.
D. Clamp the tube once a day.
E. Obtain a chest x-ray - ...ANSWER...A. Encourage the
client to cough every 2 hr.
B. Check for continuous bubbling in the suction
chamber.
E. Obtain a chest x-ray
A nurse is orienting a newly licensed nurse who is
caring for a client that is receiving mechanical
ventilation, which has been placed on pressure support
ventilation (PSV) mode. Which of the following
statements by the newly licensed nurse demonstates
an understanding of PSV?
A. "It keeps the alveoli open and prevents atelectasis."
B. "It permits spontaneous ventilation to decrease the
work of breathing."
C. "It is used with clients who have difficulty weaning
from the ventilator."
D. "It delivers a preset ventilatory rate and tidal volume
to the client." - ...ANSWER...B. "It permits spontaneous
ventilation to decrease the work of breathing."
A nurse is caring for a client who is experiencing
respiratory distress. Which of the following are early
clinical manifestations of hypoxemia? (Select all that
apply.)
A. Confusion
B. Pale skin
C. Bradycardia
D. Hypotension
E. Elevated blood pressure - ...ANSWER...B. Pale skin
E. Elevated blood pressure
A nurse is orienting a newly licensed nurse on
performing routine assessment of a client who is
receiving mechanical ventilation via an endotracheal
tube. Which of the following should the nurse
include in the teaching?
A. Apply a vest restraint if self-extubation is attempted.
B. Monitor ventilator settings every 8 hr.
C. Document tube placement in centimeters at the
angle of jaw.
D. Assess breath sounds every 1 to 2 hr. -
...ANSWER...D. Assess breath sounds every 1 to 2 hr.
A nurse is caring for a client who has dyspnea and is to
receive oxygen continuously. Which of the
following oxygen devices should the nurse use to
deliver a precise amount of oxygen to the client?
A. Nonrebreather mask
B. Venturi mask
C. Nasal cannula
D. Simple face mask - ...ANSWER...B. Venturi mask
A nurse is planning care for a client who is receving
mechanical ventilation. Which mode of ventilation
increases the effort of the client's respiratory muscles?
(Select all that apply.)
A. Assist-control
B. Synchronized intermittent mandatory ventilation
C. Continous positive aiway pressure
D. Pressure support ventilation
E. Independent lung ventilation - ...ANSWER...B.
Synchronized intermittent mandatory ventilation
C. Continous positive airway pressure
D. Pressure support ventilation
Which of the following clients have an increased risk
for developing pneumonia? (Select all that apply.)
A. Client who has dysphagia
B. Client who has AIDS
C. Client who was vaccinated for pneumococcus and
influenza 6 months ago
D. Client who is postoperative and has received local
anesthesia
E. Client who has a closed head injury and is receiving
ventilation
F. Client who has myasthenia gravis - ...ANSWER...A.
Client who has dysphagia
B. Client who has AIDS
E. Client who has a closed head injury and is receiving [Show Less]