ATI Adult Med Surg Proctored Exam Questions And Correct Detailed
Answers
a nurse is caring for a client who has a new dx go TB.which of the airborne precautions
following precautions should the rn initiate
to prevent transmission of the disease?
Tuberculosis is spread through small droplets, measuring less than 5 microns,which can remain airborne
for extended periods. The nurse should place a client who has tuberculosis under airborne precautions to
prevent the spread of microbes. For airborne precautions, the client should be placed in a private,negative
contact pressure room with 6 to 12 air exchanges per hour with HEPA filtration.The nurse should wear an N95
airborne respirator while providing care to the client.The nurse should also teach the client to cough and
droplet expectorate sputum into tissues,which are disposed of in a waterproof sack.
protective
immobilize the affected extremity w a splint
a rn in a rural community center is providing education to a group of
clients ab first aid interventions for snake bites to prevent further
injury.which of the following instructions should the rn incl in the teaching?
The nurse should instruct the clients to immobilize the affected extremity below the level of the heart
with a splint.
apply an ice pack directly to the affected area
immobilize the affected extremity w a splint
place a tourniquet above and below the affected area
elevate the affected extremity
, a rn in an ed is caring for a client who has sustained multiple injuries. flail chest
the rn observes the client's thorax
moving inward during inspiration and outward during Flail chest results from multiple rib fractures that cause instability. The thorax
moves inward with inspiration and outward with expiration. This paradoxical chest movement prevents
expiration.the rn should suspect which of the following injuries? adequate ventilation of the injured lung.
flail chest
hemothroax
pulmonary contusion
pneumothorax
a rn is caring for a client who has a R-sided pneumothorax.following chest gentle bubbling in the suction chamber
tube insertion, which of
the following findings indicates that the chest drainage system is Bubbling in the suction chamber is expected and indicates that the drainage
functioning correctly?
system is connected to suction.
gentle bubbling in the suction chamber
crepitus around the insertion site
constant bubbling in the water seal chamber
absence of breath sounds on the right side
stop the transfusion
a rn is administering a blood transfusion to a client and suspects that the
client is having an adverse reaction to the blood. which of the following
actions should the nurse take first? The greatest risk to this client is injury from the adverse effects caused by
maintain IV access receiving the blood. Therefore, the first action the nurse should take is to stop the infusion.
obtain the clients vitals
contact the provider
stop the transfusion
a rn is planning care for a client who has meniere's disease and is provide a low sodium diet
experiencing epodes of vertigo. which of
Ménière's disease is an inner ear disorder that affects the client's balance. Limiting
the following interventions should the rn include in the plan? sodium in the diet reduces fluid retention, which decreases the manifestations of
the disease.
maintain strict bed rest
restrict fluid intake to the morning hours
administer aspirin
provide a low-sodium diet
Answers
a nurse is caring for a client who has a new dx go TB.which of the airborne precautions
following precautions should the rn initiate
to prevent transmission of the disease?
Tuberculosis is spread through small droplets, measuring less than 5 microns,which can remain airborne
for extended periods. The nurse should place a client who has tuberculosis under airborne precautions to
prevent the spread of microbes. For airborne precautions, the client should be placed in a private,negative
contact pressure room with 6 to 12 air exchanges per hour with HEPA filtration.The nurse should wear an N95
airborne respirator while providing care to the client.The nurse should also teach the client to cough and
droplet expectorate sputum into tissues,which are disposed of in a waterproof sack.
protective
immobilize the affected extremity w a splint
a rn in a rural community center is providing education to a group of
clients ab first aid interventions for snake bites to prevent further
injury.which of the following instructions should the rn incl in the teaching?
The nurse should instruct the clients to immobilize the affected extremity below the level of the heart
with a splint.
apply an ice pack directly to the affected area
immobilize the affected extremity w a splint
place a tourniquet above and below the affected area
elevate the affected extremity
, a rn in an ed is caring for a client who has sustained multiple injuries. flail chest
the rn observes the client's thorax
moving inward during inspiration and outward during Flail chest results from multiple rib fractures that cause instability. The thorax
moves inward with inspiration and outward with expiration. This paradoxical chest movement prevents
expiration.the rn should suspect which of the following injuries? adequate ventilation of the injured lung.
flail chest
hemothroax
pulmonary contusion
pneumothorax
a rn is caring for a client who has a R-sided pneumothorax.following chest gentle bubbling in the suction chamber
tube insertion, which of
the following findings indicates that the chest drainage system is Bubbling in the suction chamber is expected and indicates that the drainage
functioning correctly?
system is connected to suction.
gentle bubbling in the suction chamber
crepitus around the insertion site
constant bubbling in the water seal chamber
absence of breath sounds on the right side
stop the transfusion
a rn is administering a blood transfusion to a client and suspects that the
client is having an adverse reaction to the blood. which of the following
actions should the nurse take first? The greatest risk to this client is injury from the adverse effects caused by
maintain IV access receiving the blood. Therefore, the first action the nurse should take is to stop the infusion.
obtain the clients vitals
contact the provider
stop the transfusion
a rn is planning care for a client who has meniere's disease and is provide a low sodium diet
experiencing epodes of vertigo. which of
Ménière's disease is an inner ear disorder that affects the client's balance. Limiting
the following interventions should the rn include in the plan? sodium in the diet reduces fluid retention, which decreases the manifestations of
the disease.
maintain strict bed rest
restrict fluid intake to the morning hours
administer aspirin
provide a low-sodium diet
