NR-341 NR 341 NR21 Complex Adult Health –
ATI Practice Exam Questions and Correct
Answers (Verified Answers) with Rationales
2025Chamberlain College Of Nursing
1. A nurse is caring for a client who has a new tracheostomy. Which of the
following actions should the nurse take first?
A. Provide oral care every 2 hours
B. Confirm the presence of bilateral breath sounds
C. Change the tracheostomy ties daily
D. Suction the tracheostomy tube
Confirming bilateral breath sounds ensures the tracheostomy is correctly
placed and the airway is patent, which is the highest priority.
2. A client with a chest tube for a pneumothorax has continuous bubbling in
the water seal chamber. What should the nurse do?
A. Clamp the chest tube
B. Apply suction
C. Check the system for air leaks
D. Increase the drainage bag
Continuous bubbling in the water seal chamber indicates an air leak. The
system should be checked immediately to prevent complications.
, 3. A nurse is caring for a client with a central venous catheter and notes
swelling, pain, and redness at the insertion site. What action should the
nurse take?
A. Continue the infusion
B. Discontinue the catheter and notify the provider
C. Elevate the extremity
D. Flush the catheter with heparin
Signs of phlebitis or infection warrant immediate removal and provider
notification to prevent systemic infection.
4. A nurse is caring for a client receiving TPN. What lab value should be
monitored closely?
A. Hematocrit
B. Platelet count
C. Blood glucose
D. Sodium
TPN contains high concentrations of glucose; therefore, blood glucose
should be monitored frequently to prevent hyperglycemia.
5. A client is postoperative following a lobectomy and has absent breath
sounds on the affected side. What should the nurse do?
A. Notify the provider immediately
B. Reposition the client
, C. Encourage coughing and deep breathing
D. Document the finding
Absent breath sounds post-lobectomy may indicate a complication like
pneumothorax or hemothorax and requires immediate medical attention.
6. A client is experiencing chest pain and has ST segment elevations. Which
medication should the nurse expect to administer?
A. Atorvastatin
B. Furosemide
C. Nitroglycerin
D. Digoxin
Nitroglycerin is a first-line treatment for angina and myocardial infarction
to relieve ischemic chest pain.
7. Which of the following findings in a client with heart failure requires
immediate intervention?
A. Weight gain of 1 lb overnight
B. Frothy, pink-tinged sputum
C. Bilateral lower extremity edema
D. Fatigue with ambulation
Frothy, pink-tinged sputum is a sign of pulmonary edema, a life-threatening
complication of heart failure.
ATI Practice Exam Questions and Correct
Answers (Verified Answers) with Rationales
2025Chamberlain College Of Nursing
1. A nurse is caring for a client who has a new tracheostomy. Which of the
following actions should the nurse take first?
A. Provide oral care every 2 hours
B. Confirm the presence of bilateral breath sounds
C. Change the tracheostomy ties daily
D. Suction the tracheostomy tube
Confirming bilateral breath sounds ensures the tracheostomy is correctly
placed and the airway is patent, which is the highest priority.
2. A client with a chest tube for a pneumothorax has continuous bubbling in
the water seal chamber. What should the nurse do?
A. Clamp the chest tube
B. Apply suction
C. Check the system for air leaks
D. Increase the drainage bag
Continuous bubbling in the water seal chamber indicates an air leak. The
system should be checked immediately to prevent complications.
, 3. A nurse is caring for a client with a central venous catheter and notes
swelling, pain, and redness at the insertion site. What action should the
nurse take?
A. Continue the infusion
B. Discontinue the catheter and notify the provider
C. Elevate the extremity
D. Flush the catheter with heparin
Signs of phlebitis or infection warrant immediate removal and provider
notification to prevent systemic infection.
4. A nurse is caring for a client receiving TPN. What lab value should be
monitored closely?
A. Hematocrit
B. Platelet count
C. Blood glucose
D. Sodium
TPN contains high concentrations of glucose; therefore, blood glucose
should be monitored frequently to prevent hyperglycemia.
5. A client is postoperative following a lobectomy and has absent breath
sounds on the affected side. What should the nurse do?
A. Notify the provider immediately
B. Reposition the client
, C. Encourage coughing and deep breathing
D. Document the finding
Absent breath sounds post-lobectomy may indicate a complication like
pneumothorax or hemothorax and requires immediate medical attention.
6. A client is experiencing chest pain and has ST segment elevations. Which
medication should the nurse expect to administer?
A. Atorvastatin
B. Furosemide
C. Nitroglycerin
D. Digoxin
Nitroglycerin is a first-line treatment for angina and myocardial infarction
to relieve ischemic chest pain.
7. Which of the following findings in a client with heart failure requires
immediate intervention?
A. Weight gain of 1 lb overnight
B. Frothy, pink-tinged sputum
C. Bilateral lower extremity edema
D. Fatigue with ambulation
Frothy, pink-tinged sputum is a sign of pulmonary edema, a life-threatening
complication of heart failure.
