A, B AND C ) NEWEST 2024-2025 ACTUAL EXAM
ATI MED SURG CMS 3 LATEST VERSIONS (FORM A,
B AND C ) 2NEWEST 2024-2025 ACTUAL EXAM 440
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES(VERIFIED ANSWERS)| GRADED
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A nurse is caring for a client who has a chest tube and drainage system in place. The nurse
observes that the chest tube was accidentally removed. Which of the following actions should
the nurse take first?
A. Obtain a chest x-ray
B. Apply sterile gauze to the insertion site
C. Place tape around the insertion site
D. Assess the respiratory status - ANS :B
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 - ANS :B
C
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?
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, ATI MED SURG CMS 3 LATEST VERSIONS (FORM
A, B AND C ) NEWEST 2024-2025 ACTUAL EXAM
A. Lie on his left side
B. Use the incentive spirometer
C. Cough at regular intervals
D. Perform the Valsalva maneuver - ANS :D
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 2hr
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 - ANS :A
B
E
A nurse is orienting a newly licensed nurse who is caring for a client who is receiving mechanical
ventilation and is on pressure support ventilation (PSV) mode. Which of the following
statements by the newly licensed nurse indicates an understanding of PSV?
A. "it keeps the alveoli open and prevents atelectasis"
B. "It allows preset pressure delivered during spontaneous ventilation."
C. "It guarantees minimal minute ventilator."
D. "It delivers a preset ventilatory rate and tidal volume to the client." - ANS :B
A nurse is caring for a client who is experiencing respiratory distress. Which of the following
early manifestations of hypoxemia should the nurse recognize? (select all that apply)
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, ATI MED SURG CMS 3 LATEST VERSIONS (FORM
A, B AND C ) NEWEST 2024-2025 ACTUAL EXAM
A. Confusion
B. Pale skin
C. Bradycardia
D. Hypotension
E. Elevated blood pressure - ANS :B
E
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 information
should the nurse include in the teaching?
A. apply a vest restraint
B. monitor ventilator settings every 8 hours
C. document tube placement in centimeters at the angle of jaw
D. assess breath sounds every 1-2 hours - ANS :D
A nurse is caring for a client who has dyspnea and will 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 - ANS :B
A nurse is planning care for a client who is receiving mechanical ventilation. Which of the
following modes of ventilation that increases the effort of the client's respiratory muscles
should the nurse include in the plan of care? (select all that apply)
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, ATI MED SURG CMS 3 LATEST VERSIONS (FORM
A, B AND C ) NEWEST 2024-2025 ACTUAL EXAM
A. assist-control
B. synchronized intermittent mandatory ventilation
C. Continuous positive airway pressure
D. Pressure support ventilation
E. Independent lung ventilation - ANS :B
C
D
A nurse is performing a home safety assessment for a client who is receiving supplemental
oxygen. Which of the following observations should the nurse identify as proper safety
protocol?
-The client uses a wool blanket on their bed.
-The client identifies the location of a fire extinguisher.
-The client stores an extra oxygen tank on its side under their bed.
-The client has a weekly inspection checklist for oxygen equipment. - ANS :The client identifies
the location of a fire extinguisher.
-The client should be able to identify the location of fire extinguishers in the home and be aware
of how to use them.
A nurse is teaching a client and his family how to care for the client's tracheostomy at home.
Which of the following instructions should the nurse include in the teaching?
-Remove the outer cannula cautiously for routine cleaning.
-Use tracheostomy covers when outdoors.
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