(PART 2) NEW ATI MEDICAL SURGICAL PROCTORED
EXAM 2025 UPDATED WITH NGN QUESTIONS AND
CORRECT ANSWERS PREP
A client experienced onset of shortness of breath after placement of a central venous pressure
line is placed in the right subclavian vein. Which of the following supports a diagnosis of
pneumothorax?
-Sudden, sharp pain on the affected side.
A nurse is caring for a term neonate diagnosed with transient tachypnea at 2 hours after birth. Which if
the following interventions is appropriate when caring for this infant?
-Providing, warm, humidified oxygen in a warm environment.
Rational: Symptoms of transient tachypnea include respirations as high as 150/min, retractions, nostril flaring, and
cyanosis. Treatment is supportive, including warm humidified oxygen.
A nurse is providing care to a client who is to be maintained on strict bed rest for three weeks. In
order to help prevent atelectasis, the nurse teaches the client to:
-Deep-breathing and coughing several times a day.
A nurse is caring for a client who is on a mechanical ventilator and who receives nutrition through a
feeding tube. Which position would most likely reduce the risk of this patient developing aspiration
pneumonia?
-Supine with the head of the bed elevated 30 to 45 degrees.
A charge nurse in a pediatric unit is giving an Inservice about preventing the transmission of
respiratory syncytial virus (RSV). Which of the following should be included in the teaching
(SATA)?
-The virus can be spread by direct contact
-The virus can be spread by indirect contact
-Frequent hand washing helps reduce the spread of RSV
A nurse in the ED is caring for a child in respiratory distress. Which of the following is the
most important initial action by the nurse?
,-Complete a focused respiratory system assessment
A nurse is caring for a client who requires thoracentesis. To best prepare the client for the
procedure, what information should the nurse provide?
-The client must remain still during the procedure.
49-A nurse is preparing to perform endotracheal suctioning for a client who is intubated and
mechanically ventilated. Which of the following will the nurse consider when performing this task?
-Suction for the shortest time possible to remove secretions
50-A nurse is caring for a client with a chest tube that is connected to a water seal drainage system.
What is the purpose of a seal chamber in a chest tube drainage system?
-It allows air to exit the chest when the patient exhales and prevents it from entering when the patient inhales.
51-A nurse is caring for a client who has a chest tube in place for treatment of hemothorax. Which of the
following is appropriate when caring for a client with a chest tube?
-Avoid routinely stripping or milking the tubing to remove drainage.
Which of the following clients are candidates for chest physiotherapy?
-A client with bronchiectasis.
, A nurse is caring for a client who has an upper airway obstruction and an emergency needle
cricothyrotomy must be performed. After penetration of the cricothyroid membrane and confirmation
of the position of the incision, what is the next step?
-Insert the needle catheter at 45-degree angle downward toward the trachea.
A nurse is providing bag-mask ventilation for a client with an oropharyngeal airway in place. Which
of the following is a contraindication to placement of an oropharyngeal airway? (SATA)
-A client who has a gag reflex
-A client with a palate fracture.
A nurse is caring for a client who requires a mechanical ventilator to help with breathing and
regular suctioning of secretions to clear the airway. Which of the following intervention should
the nurse perform to prevent hypoxemia during suctioning? (SATA)
-Hyperoxygenate the client with 100% oxygen before starting
-Limit suctioning to no more than 3 attempts each time
-Apply suction only after the catheter has been inserted or when withdrawing
A nurse is caring for an adult client who is being treated for pancreatitis and requires a mechanical
ventilator for assistance with breathing. The physician orders an arterial blood gas, which provides the
following results: pH: 7.28; Pco2: 51mmHg; HCO3: 24 mEq/L; SaO2: 92%. Based on these results,
which of the following best describes this client’s condition?
-Respiratory acidosis
A nurse is caring for a client with severe COPD and pneumonia who is receiving supplemental oxygen
at 2 L/min. The client’s respirations are rapid and shallow. Which of the following arterial blood gas
values indicate impending respiratory failure?
EXAM 2025 UPDATED WITH NGN QUESTIONS AND
CORRECT ANSWERS PREP
A client experienced onset of shortness of breath after placement of a central venous pressure
line is placed in the right subclavian vein. Which of the following supports a diagnosis of
pneumothorax?
-Sudden, sharp pain on the affected side.
A nurse is caring for a term neonate diagnosed with transient tachypnea at 2 hours after birth. Which if
the following interventions is appropriate when caring for this infant?
-Providing, warm, humidified oxygen in a warm environment.
Rational: Symptoms of transient tachypnea include respirations as high as 150/min, retractions, nostril flaring, and
cyanosis. Treatment is supportive, including warm humidified oxygen.
A nurse is providing care to a client who is to be maintained on strict bed rest for three weeks. In
order to help prevent atelectasis, the nurse teaches the client to:
-Deep-breathing and coughing several times a day.
A nurse is caring for a client who is on a mechanical ventilator and who receives nutrition through a
feeding tube. Which position would most likely reduce the risk of this patient developing aspiration
pneumonia?
-Supine with the head of the bed elevated 30 to 45 degrees.
A charge nurse in a pediatric unit is giving an Inservice about preventing the transmission of
respiratory syncytial virus (RSV). Which of the following should be included in the teaching
(SATA)?
-The virus can be spread by direct contact
-The virus can be spread by indirect contact
-Frequent hand washing helps reduce the spread of RSV
A nurse in the ED is caring for a child in respiratory distress. Which of the following is the
most important initial action by the nurse?
,-Complete a focused respiratory system assessment
A nurse is caring for a client who requires thoracentesis. To best prepare the client for the
procedure, what information should the nurse provide?
-The client must remain still during the procedure.
49-A nurse is preparing to perform endotracheal suctioning for a client who is intubated and
mechanically ventilated. Which of the following will the nurse consider when performing this task?
-Suction for the shortest time possible to remove secretions
50-A nurse is caring for a client with a chest tube that is connected to a water seal drainage system.
What is the purpose of a seal chamber in a chest tube drainage system?
-It allows air to exit the chest when the patient exhales and prevents it from entering when the patient inhales.
51-A nurse is caring for a client who has a chest tube in place for treatment of hemothorax. Which of the
following is appropriate when caring for a client with a chest tube?
-Avoid routinely stripping or milking the tubing to remove drainage.
Which of the following clients are candidates for chest physiotherapy?
-A client with bronchiectasis.
, A nurse is caring for a client who has an upper airway obstruction and an emergency needle
cricothyrotomy must be performed. After penetration of the cricothyroid membrane and confirmation
of the position of the incision, what is the next step?
-Insert the needle catheter at 45-degree angle downward toward the trachea.
A nurse is providing bag-mask ventilation for a client with an oropharyngeal airway in place. Which
of the following is a contraindication to placement of an oropharyngeal airway? (SATA)
-A client who has a gag reflex
-A client with a palate fracture.
A nurse is caring for a client who requires a mechanical ventilator to help with breathing and
regular suctioning of secretions to clear the airway. Which of the following intervention should
the nurse perform to prevent hypoxemia during suctioning? (SATA)
-Hyperoxygenate the client with 100% oxygen before starting
-Limit suctioning to no more than 3 attempts each time
-Apply suction only after the catheter has been inserted or when withdrawing
A nurse is caring for an adult client who is being treated for pancreatitis and requires a mechanical
ventilator for assistance with breathing. The physician orders an arterial blood gas, which provides the
following results: pH: 7.28; Pco2: 51mmHg; HCO3: 24 mEq/L; SaO2: 92%. Based on these results,
which of the following best describes this client’s condition?
-Respiratory acidosis
A nurse is caring for a client with severe COPD and pneumonia who is receiving supplemental oxygen
at 2 L/min. The client’s respirations are rapid and shallow. Which of the following arterial blood gas
values indicate impending respiratory failure?
