ATI Med-Surg Exam 3 2023/2024 Graded A+
1. Select to the appropriate chamber meter (image of the atrium ocean machine)
A. suction control
b. Water Seal
C. Air Leak
D. collection chamber
2. The nurse is caring for several clients on the respiratory unit. Which client will the nurse
assess for the development of a pulmonary embolism?
A. Young adult with a femur fracture
B. Older adult who aspirated a tube feed
C. Middle-aged woman receiving a blood transfusion
D. Older adult with COPD
3. A patient who has been running a low grade fever, has had a chest tube inserted and is
admitted to the medical surgical unit. Which medication subscription should the nurse clarify?
A. Ceftriaxone ivpb every 8 hrs
B. Metoprolol 50mg po bid
C. Morphine sulfate 4mg iv every 4 hours as needed for pain
D. Furomeside 40mg po daily
4. What assessment data is the nurse most likely to obtain in a patient who has survived the
acute phase of ARDS and has progressed to the fibrotic stage? A. Resolution of edema and
healing of the lung
B. Continue hypoxemia because of diffusion limitation
C. Increased lung compliance caused by breakdown of fibrotic tissue
D. Chronic Pulmonary edema and atelectasis
5. When assessing a patient’s oxygen saturation (SaO2), the nurse notes a decrease from 96% to
82% over the course of the shift. What is the priority intervention?
A. Order “stat” ABGs to confirm the SpO2 with PaO2
B. Start administration of oxygen via nasal cannula at 2 L/min
C. Check the position of the probe on the finger or earlobe
D. Notify the provider of the change in baseline PaO2
Found a similar question answer was hyperoxygentate the client for 30-60second
, Other answer option is check position of probe on the finger or earlobe
6. Which Arterial Blood Gas value reflects effective treatment of respiratory acidosis in the
patient with ARDS?
A. Ph 7.28: Pao2 96: Paco2: 45 HCO3 12
B. Ph 7.32: PaO2 98: PaCO2 25: HCO3 17
C. Ph 7.48: PaO2 85: PaCO2 32: HCO3 12
D. Ph 7.35: PaO2 78: PaCO2 55: HCO3 30
ARDS = PACO2 LOWER THAN 80-100
7. A patient with a pleural effusion had a thoracentesis and analysis of the fluid sent to the
laboratory reveals a high (RBC) count. What does the nurse report?
A. Pulmonary edema
B. Infection
C. Trauma
D. Liver failure
8. An unlicensed assistive personnel (UAP) was feeding a client with a tracheostomy. Later that
evening the UAP reports that the client has a coughing spell during the meal. What action by the
nurse takes priority?
A. Request thicker liquids for meals
B. Re-evalution by speech and swallow
C. Report the UAP to the manager
D. Assess the client’s lung sounds
9. A nurse cares for a client who has a chest tube. When would this client be at highest risk for
developing a pneumothorax?
A. When the insertion site becomes red and warm to the touch
B. When the tube drainage decreases and becomes sanguineous
C. When the client experiences pain at the insertion site
D. When the tube becomes disconnected from the drainage system
10. A nurse cares for a client with a 40-year smoking history who’s experiencing distended
neck veins and dependent edema. Which physiologic process should the nurse correlate with the
clients history and clinical manifestations?
A. Exposure to irritants resulting in increased inflammation of the bronchi and
bronchioles
1. Select to the appropriate chamber meter (image of the atrium ocean machine)
A. suction control
b. Water Seal
C. Air Leak
D. collection chamber
2. The nurse is caring for several clients on the respiratory unit. Which client will the nurse
assess for the development of a pulmonary embolism?
A. Young adult with a femur fracture
B. Older adult who aspirated a tube feed
C. Middle-aged woman receiving a blood transfusion
D. Older adult with COPD
3. A patient who has been running a low grade fever, has had a chest tube inserted and is
admitted to the medical surgical unit. Which medication subscription should the nurse clarify?
A. Ceftriaxone ivpb every 8 hrs
B. Metoprolol 50mg po bid
C. Morphine sulfate 4mg iv every 4 hours as needed for pain
D. Furomeside 40mg po daily
4. What assessment data is the nurse most likely to obtain in a patient who has survived the
acute phase of ARDS and has progressed to the fibrotic stage? A. Resolution of edema and
healing of the lung
B. Continue hypoxemia because of diffusion limitation
C. Increased lung compliance caused by breakdown of fibrotic tissue
D. Chronic Pulmonary edema and atelectasis
5. When assessing a patient’s oxygen saturation (SaO2), the nurse notes a decrease from 96% to
82% over the course of the shift. What is the priority intervention?
A. Order “stat” ABGs to confirm the SpO2 with PaO2
B. Start administration of oxygen via nasal cannula at 2 L/min
C. Check the position of the probe on the finger or earlobe
D. Notify the provider of the change in baseline PaO2
Found a similar question answer was hyperoxygentate the client for 30-60second
, Other answer option is check position of probe on the finger or earlobe
6. Which Arterial Blood Gas value reflects effective treatment of respiratory acidosis in the
patient with ARDS?
A. Ph 7.28: Pao2 96: Paco2: 45 HCO3 12
B. Ph 7.32: PaO2 98: PaCO2 25: HCO3 17
C. Ph 7.48: PaO2 85: PaCO2 32: HCO3 12
D. Ph 7.35: PaO2 78: PaCO2 55: HCO3 30
ARDS = PACO2 LOWER THAN 80-100
7. A patient with a pleural effusion had a thoracentesis and analysis of the fluid sent to the
laboratory reveals a high (RBC) count. What does the nurse report?
A. Pulmonary edema
B. Infection
C. Trauma
D. Liver failure
8. An unlicensed assistive personnel (UAP) was feeding a client with a tracheostomy. Later that
evening the UAP reports that the client has a coughing spell during the meal. What action by the
nurse takes priority?
A. Request thicker liquids for meals
B. Re-evalution by speech and swallow
C. Report the UAP to the manager
D. Assess the client’s lung sounds
9. A nurse cares for a client who has a chest tube. When would this client be at highest risk for
developing a pneumothorax?
A. When the insertion site becomes red and warm to the touch
B. When the tube drainage decreases and becomes sanguineous
C. When the client experiences pain at the insertion site
D. When the tube becomes disconnected from the drainage system
10. A nurse cares for a client with a 40-year smoking history who’s experiencing distended
neck veins and dependent edema. Which physiologic process should the nurse correlate with the
clients history and clinical manifestations?
A. Exposure to irritants resulting in increased inflammation of the bronchi and
bronchioles
