ATI PN MED SURG Exam Newest Proctored /ATI PN MED SURG
Exam Preparation /ATI PN MED SURG Practice Exam With 200
Complete Questions And Correct Answers |Already Graded A+
Therapeutic measures for PE - answer-;-embolectomy
-vena cava filter
Client education and referral for PE - answer-;-preventative measures
-dietary precautions with Vit. K
-Follow-up for PT or INR
-Bleeding precautions
-Cardiology and pulmonary services (respiratory care)
Pneumothorax - answer-;A collection of air or gas in the chest or pleural space that causes part or all of
a lung to collapse due to a loss of negative pressure
Tension Pneumothorax - answer-;Occurs when air enters the pleural space during inspiration through
one-way valve and is not able to exit upon expiration. The trapped air causes pressure on the heart and
the lung. As a result, the increase in pressure compresses blood vessels and limits venous return, leading
to a decrease in cardiac output. Death can result if not treated immediately.
Hemothorax - answer-;Accumulation of blood in the pleural cavity
Contributing factors to hemothorax - answer-;-blunt chest trauma
-COPD
-closed/occluded chest tube
-advanced age
,-penetrating chest wounds
Manifestations of hemothorax - answer-;-respiratory distress
-tracheal deviation to unaffected side (tension pneumothorax)
-reduced or absent breath sound (affected side)
-asymmetrical chest wall movement
-hyperresonance on percussion due to trapped air (pneumothroax)
-subcutaneous emphysema
-chest pain
Diagnostic procedures for hemothroax - answer-;-chest x-ray
-thoracentesis (hemothorax)
Nursing interventions for hemothorax - answer-;-monitor respiratory status
-administer oxygen
-position in high-fowler's
-monitor chest tube and dressing
-provide emotional support
Therapeutic measures for hemothorax - answer-;-chest tube insertion: inserted to pleural space for
draining fluid, blood, or air; reestablishes a negative pressure, facilitates lung expansion
Procedures for chest tube insertion - answer-;-position supine or semi-fowler's
-verify informed consent is signed
-prepare chest drainage system prior to insertion
-administer pain and sedation medication as ordered
-assist provider as needed during insertion
-apply dressing to insertion site
-maintain chest tube system
,-monitor respiratory status, pulse oximetry, vital signs, and client response
-monitor for complications
Chest tube complications - answer-;-Air leak (continuous rapid bubbling in the water seal chamber)
-No tidaling in water seal chamber
-No bubbling in suction control chamber
-Chest tube is disconnected from system
-Chest tube accidentally pulled from chest
EARLY clinical manifestations of hypoxia and hypoxemia - answer-;-tachypnea
-tachycardia
-restlessness
-pale skin and mucous membranes
-elevated blood pressure
-use of accessory muscles, nasal flaring, adventitious lung sounds
LATE clinical manifestations of hypoxia and hypoxemia - answer-;-bradypnea
-bradycardia
-confusion and stupor
-cyanotic skin and mucous membranes
-hypotension
-cardiac dysrythmias
Oxygen Delivery devices - answer-;Nasal cannula (2-6 L) 24-44%
Simple face mask (6-8 L) 40-60%
Partial rebreather mask (8-11L) 50-75%
Non-rebreather mask (12L) 80-100%
Venturi mask (4-8 L) 24-40%
Aerosol mask, face tent (8-10 L) 30-100
, T-piece (8-10 L) 30-100%
Client education when oxygen is in use - answer-;-assess for electrical hazards
-Post "oxygen in use" sign
-Wear a cotton gown
-No smoking
Suctioning - answer-;-hyperoxygenate client
-suction 10-15 seconds (rotating motion); limit 2-3 attempts
-Allow 20-30 sec recovery between attempts
-Document amount , color, and consistency of secretions as well as client's response
Tracheostomy care - answer-;-keep two extra tracheostomy tubes (one the client's size and one a
smaller size) at the bedside in the event of accidental decannulation
-Only suction client as clinically indicated
-Tracheostomy care every 8 hours or as needed
adequate BP is maintained by... - answer-;peripheral vasculature
Diagnostic procedures fo cardiovascular system disorders - answer-;serum electrolytes
erythrocyte sedimentation rate
C-reactive protein
blood coagulation tests
-PTT (30-40 sec): heparin
-PT (11-12.5 sec): warfarin
INR (0.7-1.8): if the client requires anticoagulation, the desired value is approximately 2-3.
BUN and creatinine: reflect renal function and perfusion; levels may increase in MI, CHF, and
cardiomyopathy
Total cholesterol: <200; LDL <130; HDL men >35-65, women >35-80
Exam Preparation /ATI PN MED SURG Practice Exam With 200
Complete Questions And Correct Answers |Already Graded A+
Therapeutic measures for PE - answer-;-embolectomy
-vena cava filter
Client education and referral for PE - answer-;-preventative measures
-dietary precautions with Vit. K
-Follow-up for PT or INR
-Bleeding precautions
-Cardiology and pulmonary services (respiratory care)
Pneumothorax - answer-;A collection of air or gas in the chest or pleural space that causes part or all of
a lung to collapse due to a loss of negative pressure
Tension Pneumothorax - answer-;Occurs when air enters the pleural space during inspiration through
one-way valve and is not able to exit upon expiration. The trapped air causes pressure on the heart and
the lung. As a result, the increase in pressure compresses blood vessels and limits venous return, leading
to a decrease in cardiac output. Death can result if not treated immediately.
Hemothorax - answer-;Accumulation of blood in the pleural cavity
Contributing factors to hemothorax - answer-;-blunt chest trauma
-COPD
-closed/occluded chest tube
-advanced age
,-penetrating chest wounds
Manifestations of hemothorax - answer-;-respiratory distress
-tracheal deviation to unaffected side (tension pneumothorax)
-reduced or absent breath sound (affected side)
-asymmetrical chest wall movement
-hyperresonance on percussion due to trapped air (pneumothroax)
-subcutaneous emphysema
-chest pain
Diagnostic procedures for hemothroax - answer-;-chest x-ray
-thoracentesis (hemothorax)
Nursing interventions for hemothorax - answer-;-monitor respiratory status
-administer oxygen
-position in high-fowler's
-monitor chest tube and dressing
-provide emotional support
Therapeutic measures for hemothorax - answer-;-chest tube insertion: inserted to pleural space for
draining fluid, blood, or air; reestablishes a negative pressure, facilitates lung expansion
Procedures for chest tube insertion - answer-;-position supine or semi-fowler's
-verify informed consent is signed
-prepare chest drainage system prior to insertion
-administer pain and sedation medication as ordered
-assist provider as needed during insertion
-apply dressing to insertion site
-maintain chest tube system
,-monitor respiratory status, pulse oximetry, vital signs, and client response
-monitor for complications
Chest tube complications - answer-;-Air leak (continuous rapid bubbling in the water seal chamber)
-No tidaling in water seal chamber
-No bubbling in suction control chamber
-Chest tube is disconnected from system
-Chest tube accidentally pulled from chest
EARLY clinical manifestations of hypoxia and hypoxemia - answer-;-tachypnea
-tachycardia
-restlessness
-pale skin and mucous membranes
-elevated blood pressure
-use of accessory muscles, nasal flaring, adventitious lung sounds
LATE clinical manifestations of hypoxia and hypoxemia - answer-;-bradypnea
-bradycardia
-confusion and stupor
-cyanotic skin and mucous membranes
-hypotension
-cardiac dysrythmias
Oxygen Delivery devices - answer-;Nasal cannula (2-6 L) 24-44%
Simple face mask (6-8 L) 40-60%
Partial rebreather mask (8-11L) 50-75%
Non-rebreather mask (12L) 80-100%
Venturi mask (4-8 L) 24-40%
Aerosol mask, face tent (8-10 L) 30-100
, T-piece (8-10 L) 30-100%
Client education when oxygen is in use - answer-;-assess for electrical hazards
-Post "oxygen in use" sign
-Wear a cotton gown
-No smoking
Suctioning - answer-;-hyperoxygenate client
-suction 10-15 seconds (rotating motion); limit 2-3 attempts
-Allow 20-30 sec recovery between attempts
-Document amount , color, and consistency of secretions as well as client's response
Tracheostomy care - answer-;-keep two extra tracheostomy tubes (one the client's size and one a
smaller size) at the bedside in the event of accidental decannulation
-Only suction client as clinically indicated
-Tracheostomy care every 8 hours or as needed
adequate BP is maintained by... - answer-;peripheral vasculature
Diagnostic procedures fo cardiovascular system disorders - answer-;serum electrolytes
erythrocyte sedimentation rate
C-reactive protein
blood coagulation tests
-PTT (30-40 sec): heparin
-PT (11-12.5 sec): warfarin
INR (0.7-1.8): if the client requires anticoagulation, the desired value is approximately 2-3.
BUN and creatinine: reflect renal function and perfusion; levels may increase in MI, CHF, and
cardiomyopathy
Total cholesterol: <200; LDL <130; HDL men >35-65, women >35-80
