ATI PROCTOREDmdc4-exam-2-questions.pdf

MDC4 Exam 2 Questions 1. A client with a pulmonary embolism may have which of the following interventions? a. IVC filter b. Embolectomy c. Chest tube placement d. Heparin drug therapy e. Thoracotomy 2. An older adult client arrives in the emergency department after falling off a roof. The nurse observes “sucking inward” of the loose chest area during inspiration and a “puffing out” of the same area during expiration. Arterial blood gas results show severe hypoxemia and hypercarbia. Which procedure does the nurse prepare for? a. Chest tube insertion X b. Endotracheal intubation c. Needle thoracotomy d. Tracheostomy 3. A nurse in a burn treatment center is caring for a client admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client’s spouse asks the nurse what the procedure entails. Whish nursing statement is appropriate? a. Large, surgical incision will be made in the hardened dermal layer to improve circulation b. This procedure involves placing the client into a shower and removing the dead tissue c. A piece of healthy skin will be removed from an unburned area and grafter over the burned area d. Surgical incisions will be made into the deep tissue, possibly to the bone, to permit better circulation 4. A nurse is caring for a client who has burn injuries to his trunk. The nurse is explaining what to expect from the prescribed hydrotherapy. Which of the following statements by the client indicates an understanding of the teaching? a. I will be on a special shower table to enhance wound inspection and debridement b. The water temperature will be hot to improve blood flow and healing X c. The nurse will use a wire brush to remove loose skin d. The nurse will use scissors to open small blisters 5. Calculate the mean arterial pressure in mmHg for a client with a blood pressure of 84/46 mmHg. a. 59 mmHg 6. Which if the following interventions is not appropriate for a client diagnosed with a pneumothorax? a. Apply wet to dry dressing on wound lOMoARcPSD| ATI PROCTORED b. Monitor respiratory and circulatory function c. Assess for tracheal deviation d. Provide analgesics 7. A client in the intensive care unit was recovering from moderate burns and smoke inhalation. His condition was improving, and plans were made to transfer him to a stepdown unit. On the morning of the transfer, the client began to experience elevated temperatures and shortness of breath. Urine output decreased to 10ml/hr. labs were drawn and indicated elevated WBC, GFR, creatinine, and liver enzymes. The client is experiencing which medical complication? a. Acute respiratory failure X b. Acute kidney injury c. Disseminated intravascular coagulation d. Multiple organ dysfunction syndrome 8. A nurse is assessing a client who sustained superficial partial thickness and deep partial thickness burns 38 hours ago. Which finding should the nurse report to the provider? a. Edema in the burned extremities b. Severe pain at the burn site c. Urine output of 65ml/hr over 2 hours d. ABG pH 7.31, PaCO2 37 mmHg, HCO3 31 mEq/L 9. A nurse is caring for a client who has sustained burns over 37% of total body surface area. The client’s voice has become hoarse, a brassy cough has developed, and the client is drooling. The nurse should identify these findings as indications that the client has which of the following? a. Pulmonary edema b. Bacterial pneumonia c. Inhalation injury d. Carbon monoxide poisoning 10. A nurse is assisting the provider in caring for a client who has developed a tension pneumothorax. Which actions should be performed first? a. Assess the clients pain b. Prepare for large bore needle thoracostomy c. Administer lorazepam d. Prepare for chest tube insertion 11. When assessing a client who has suffered a burn injury, the nurse classifies the burn as a full thickness burn based on observing which characteristics? a. Painful, reddened skin b. Charred skin with milky areas c. Erythema and blisters d. Erythema, pain, and swelling