WEST COAST UNIVERSITY NURS 480 EXAM 1 SPRING II
SECTION 1M |ATI NURSING EXAM ACTUAL 2026/2027 TEST
BANK PRACTICE QUESTIONS AND STUDY GUIDE ACCURATE
EXAM COMPLETE REAL QUESTIONS WITH WELL
ELABORATED ANSWERS AND DETAILED RATIONALES
(RELIABLE ANSWERS) CURRENTLY UPDATED VERSION 2026
EDITION |GUARANTEED PASS A+ |INSTANT DOWNLOAD PDF
|BRAND NEW!!
A nurse is caring for a client who has a new chest tube in place for a
closed-chest water-seal drainage system with suction. The nurse
should observe the client for which of the following indications of a
problem in the drainage system?
A. Fluctuations in the fluid level in the water-seal chamber
B. Constant bubbling in the suction-control chamber
C. Occasional bubbling in the water-seal chamber
D. Continuous bubbling in the water-seal chamber
CORRECT ANSWER: D
Rationale: Continuous bubbling in the water-seal chamber indicates
an air leak in the system, which is a problem that requires immediate
investigation and intervention. Fluctuations (tidaling) in the water-
seal chamber are an expected and normal finding that reflects the
client's respirations. Constant bubbling in the suction-control
chamber is expected and indicates that the suction is functioning
,correctly. Occasional bubbling may be seen but continuous bubbling
is a sign of an air leak .
A client has just had a bronchoscopy. Which of the following is an
appropriate nursing action?
A. Irrigate the client's throat every 4 hours
B. Have the client refrain from talking for 24 hours
C. Withhold food and liquids until the client's gag reflex returns
D. Suction the client's oropharynx frequently
CORRECT ANSWER: C
Rationale: Following a bronchoscopy, the local anesthetic used
during the procedure will have numbed the client's throat and gag
reflex. The nurse must withhold food and liquids until the gag reflex
has returned to prevent aspiration. Irrigating the throat, restricting
talking, and frequent suctioning are not standard post-bronchoscopy
care .
A nurse is caring for a client who has just developed a pulmonary
embolism. The nurse should prepare to administer which of the
following medications?
A. Heparin
B. Furosemide (Lasix)
C. Dexamethasone (Decadron)
,D. Atropine
CORRECT ANSWER: A
Rationale: Heparin is an anticoagulant that is the primary
medication used to prevent the formation of new thrombi and the
extension of existing clots in a client with a pulmonary embolism.
Furosemide is a diuretic, dexamethasone is a corticosteroid, and
atropine is an anticholinergic; these are not first-line treatments for a
pulmonary embolism .
A nurse is assessing a client who was admitted after a motor vehicle
accident and has multiple rib fractures. The nurse observes
paradoxical chest movement, pain on inspiration, and shallow
breathing. The nurse should recognize these findings as indicating
which of the following conditions?
A. Flail chest
B. Tension pneumothorax
C. Pulmonary contusion
D. Acute Respiratory Distress Syndrome (ARDS)
CORRECT ANSWER: A
Rationale: The classic sign of flail chest is paradoxical chest wall
movement, where the affected segment moves inward during
inspiration and outward during expiration. This occurs when
, multiple adjacent ribs are fractured in two or more places, creating a
free-floating segment of the chest wall .
A nurse is caring for a client with acute respiratory failure who has
been placed on mechanical ventilation. The client is exhibiting signs
of hypoxemia, including confusion, tachypnea, and an oxygen
saturation of 85%. Crackles are heard on auscultation. Which of the
following interventions should the nurse prioritize?
A. Suction the client's airway.
B. Change the ventilator settings.
C. Administer Lorazepam as ordered.
D. Administer Propofol as ordered.
CORRECT ANSWER: A
Rationale: The presence of crackles and hypoxemia in a
mechanically ventilated client indicates that the airway is likely
obstructed by secretions. The priority intervention is to clear the
airway by suctioning. Changing ventilator settings would not address
the underlying obstruction, and administering sedatives would not
resolve the problem .
A nurse is caring for a client on mechanical ventilation. The
ventilator alarm goes off with the message "Low Pressure Alarm."
Which of the following is the most likely cause of the alarm?
SECTION 1M |ATI NURSING EXAM ACTUAL 2026/2027 TEST
BANK PRACTICE QUESTIONS AND STUDY GUIDE ACCURATE
EXAM COMPLETE REAL QUESTIONS WITH WELL
ELABORATED ANSWERS AND DETAILED RATIONALES
(RELIABLE ANSWERS) CURRENTLY UPDATED VERSION 2026
EDITION |GUARANTEED PASS A+ |INSTANT DOWNLOAD PDF
|BRAND NEW!!
A nurse is caring for a client who has a new chest tube in place for a
closed-chest water-seal drainage system with suction. The nurse
should observe the client for which of the following indications of a
problem in the drainage system?
A. Fluctuations in the fluid level in the water-seal chamber
B. Constant bubbling in the suction-control chamber
C. Occasional bubbling in the water-seal chamber
D. Continuous bubbling in the water-seal chamber
CORRECT ANSWER: D
Rationale: Continuous bubbling in the water-seal chamber indicates
an air leak in the system, which is a problem that requires immediate
investigation and intervention. Fluctuations (tidaling) in the water-
seal chamber are an expected and normal finding that reflects the
client's respirations. Constant bubbling in the suction-control
chamber is expected and indicates that the suction is functioning
,correctly. Occasional bubbling may be seen but continuous bubbling
is a sign of an air leak .
A client has just had a bronchoscopy. Which of the following is an
appropriate nursing action?
A. Irrigate the client's throat every 4 hours
B. Have the client refrain from talking for 24 hours
C. Withhold food and liquids until the client's gag reflex returns
D. Suction the client's oropharynx frequently
CORRECT ANSWER: C
Rationale: Following a bronchoscopy, the local anesthetic used
during the procedure will have numbed the client's throat and gag
reflex. The nurse must withhold food and liquids until the gag reflex
has returned to prevent aspiration. Irrigating the throat, restricting
talking, and frequent suctioning are not standard post-bronchoscopy
care .
A nurse is caring for a client who has just developed a pulmonary
embolism. The nurse should prepare to administer which of the
following medications?
A. Heparin
B. Furosemide (Lasix)
C. Dexamethasone (Decadron)
,D. Atropine
CORRECT ANSWER: A
Rationale: Heparin is an anticoagulant that is the primary
medication used to prevent the formation of new thrombi and the
extension of existing clots in a client with a pulmonary embolism.
Furosemide is a diuretic, dexamethasone is a corticosteroid, and
atropine is an anticholinergic; these are not first-line treatments for a
pulmonary embolism .
A nurse is assessing a client who was admitted after a motor vehicle
accident and has multiple rib fractures. The nurse observes
paradoxical chest movement, pain on inspiration, and shallow
breathing. The nurse should recognize these findings as indicating
which of the following conditions?
A. Flail chest
B. Tension pneumothorax
C. Pulmonary contusion
D. Acute Respiratory Distress Syndrome (ARDS)
CORRECT ANSWER: A
Rationale: The classic sign of flail chest is paradoxical chest wall
movement, where the affected segment moves inward during
inspiration and outward during expiration. This occurs when
, multiple adjacent ribs are fractured in two or more places, creating a
free-floating segment of the chest wall .
A nurse is caring for a client with acute respiratory failure who has
been placed on mechanical ventilation. The client is exhibiting signs
of hypoxemia, including confusion, tachypnea, and an oxygen
saturation of 85%. Crackles are heard on auscultation. Which of the
following interventions should the nurse prioritize?
A. Suction the client's airway.
B. Change the ventilator settings.
C. Administer Lorazepam as ordered.
D. Administer Propofol as ordered.
CORRECT ANSWER: A
Rationale: The presence of crackles and hypoxemia in a
mechanically ventilated client indicates that the airway is likely
obstructed by secretions. The priority intervention is to clear the
airway by suctioning. Changing ventilator settings would not address
the underlying obstruction, and administering sedatives would not
resolve the problem .
A nurse is caring for a client on mechanical ventilation. The
ventilator alarm goes off with the message "Low Pressure Alarm."
Which of the following is the most likely cause of the alarm?
