NUR 210 Exam One ATI Questions
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With Answers || ||
A nurse is reviewing ABG laboratory results of a client
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who is in respiratory distress. The results are pH 7.40,
|| || || || || || || || || ||
PaCO2 32 mm Hg, HCO3 22 mm Hg. The nurse should
|| || || || || || || || || || ||
recognize that the client is experiencing which of the
|| || || || || || || || ||
following acid-base imbalances? || ||
A. Respiratory acidosis
|| ||
B. Respiratory alkalosis
|| ||
C. Metabolic acidosis
|| || ||
D. Metabolic alkalosis - CORRECT ANSWER(S)✔✔B.
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Respiratory alkalosis || ||
(Causes: hyperventilation, fever and respiratory
|| || || || ||
infections)
A nurse is preparing to care for a client following chest
|| || || || || || || || || || ||
tube placement. Which of the following items should be
|| || || || || || || || ||
available in the clients room? (select all that apply)
|| || || || || || || ||
A. Oxygen
||
B. Sterile water
|| ||
,C. Enclosed hemostat clamps
|| || ||
D. Indwelling urinary catheter
|| || ||
E. Occlusive dressing - CORRECT ANSWER(S)✔✔A.
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Oxygen
B. Sterile water
|| ||
C. enclosed hemostat clamps
|| || ||
E. Occlusive dressing
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A nurse is caring for a client who has a chest tube and
|| || || || || || || || || || || || ||
drainage system in place. The nurse observes that the
|| || || || || || || || ||
chest tube was accidentally removed. Which of the
|| || || || || || || ||
following actions should the nurse take first?
|| || || || || ||
A. Obtain a chest x-ray
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B. Apply sterile gauze to the insertion site
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C. Place tape around the insertion site
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D. Assess respiratory status - CORRECT ANSWER(S)✔✔B.
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Apply sterile gauze to the insertion site (ABC, allows air to
|| || || || || || || || || ||
escape and decreases risk of tension pneumothorax)
|| || || || || || ||
A nurse is assessing a client who has a chest tube and
|| || || || || || || || || || || ||
drainage system in place. Which of the following are
|| || || || || || || || ||
expected findings? (select all that apply)
|| || || || ||
,A. Continuous bubbling in the water seal chamber
|| || || || || || ||
B. Gentle constant bubbling in the suction control
|| || || || || || || ||
chamber
C. Rise and fall in the level of water in the water seal
|| || || || || || || || || || || || ||
chamber with inspiration and expiration || || || ||
D. Exposed sutures without dressing
|| || || ||
E. Drainage system upright at chest level - CORRECT
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ANSWER(S)✔✔B. Gentle constant bubbling in the suction || || || || || || ||
control chamber ||
C. Rise and fall in the level of water in the water seal
|| || || || || || || || || || || || ||
chamber with inspiration and expiration || || || ||
A nurse is assisting a provider with the removal of a chest
|| || || || || || || || || || ||
tube. Which of the following should the nurse instruct the
|| || || || || || || || || ||
client to do?
|| || ||
A. Lie on his left side
|| || || || ||
B. Use the incentive spirometer
|| || || ||
C. Cough at regular intervals
|| || || ||
D. Perform the Valsalva maneuver - CORRECT
|| || || || || || ||
ANSWER(S)✔✔D. Perform the Valsalva maneuver (tell || || || || || ||
client to take a deep breath, exhale and bear down)
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A nurse is planning care for a client following the insertion
|| || || || || || || || || ||
of a chest tube and drainage system. Which of the
|| || || || || || || || || || ||
, following should be included in the plan of care? (select
|| || || || || || || || || ||
all that apply)|| ||
A. Encourage the client to cough every 2 hours
|| || || || || || || ||
B. Check for continuous bubbling in the suction chamber
|| || || || || || || ||
C. Strip the drainage tubing every 4 hours
|| || || || || || ||
D. Clamp the tube once a day
|| || || || || ||
E. Obtain a chest x-ray - CORRECT ANSWER(S)✔✔A.
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Encourage the client to cough every 2 hours || || || || || || ||
B. Check for continuous bubbling in the suction chamber
|| || || || || || || ||
E. Obtain a chest x-ray
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A nurse is orienting a newly licensed nurse who is caring
|| || || || || || || || || || ||
for a client who is receiving mechanical ventilation and is
|| || || || || || || || || ||
on pressure support ventilation (PSV) mode. Which of the
|| || || || || || || || ||
following statements by the newly licensed nurse
|| || || || || || ||
indicates and understanding of PSV? || || || ||
A. "It keeps the alveoli open and prevents atelectasis"
|| || || || || || || ||
B. "It allows preset pressure delivered during spontaneous
|| || || || || || ||
ventilation"
||
C. "It guarantees minimal minute ventilator"
|| || || || ||
D. "It delivers a preset ventilatory rate and tidal volume
|| || || || || || || || || ||
to the client" - CORRECT ANSWER(S)✔✔B. "It allows
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|| || || || || ||
With Answers || ||
A nurse is reviewing ABG laboratory results of a client
|| || || || || || || || || ||
who is in respiratory distress. The results are pH 7.40,
|| || || || || || || || || ||
PaCO2 32 mm Hg, HCO3 22 mm Hg. The nurse should
|| || || || || || || || || || ||
recognize that the client is experiencing which of the
|| || || || || || || || ||
following acid-base imbalances? || ||
A. Respiratory acidosis
|| ||
B. Respiratory alkalosis
|| ||
C. Metabolic acidosis
|| || ||
D. Metabolic alkalosis - CORRECT ANSWER(S)✔✔B.
|| || || || || ||
Respiratory alkalosis || ||
(Causes: hyperventilation, fever and respiratory
|| || || || ||
infections)
A nurse is preparing to care for a client following chest
|| || || || || || || || || || ||
tube placement. Which of the following items should be
|| || || || || || || || ||
available in the clients room? (select all that apply)
|| || || || || || || ||
A. Oxygen
||
B. Sterile water
|| ||
,C. Enclosed hemostat clamps
|| || ||
D. Indwelling urinary catheter
|| || ||
E. Occlusive dressing - CORRECT ANSWER(S)✔✔A.
|| || || || || ||
Oxygen
B. Sterile water
|| ||
C. enclosed hemostat clamps
|| || ||
E. Occlusive dressing
|| ||
A nurse is caring for a client who has a chest tube and
|| || || || || || || || || || || || ||
drainage system in place. The nurse observes that the
|| || || || || || || || ||
chest tube was accidentally removed. Which of the
|| || || || || || || ||
following actions should the nurse take first?
|| || || || || ||
A. Obtain a chest x-ray
|| || || ||
B. Apply sterile gauze to the insertion site
|| || || || || || ||
C. Place tape around the insertion site
|| || || || || ||
D. Assess respiratory status - CORRECT ANSWER(S)✔✔B.
|| || || || || || ||
Apply sterile gauze to the insertion site (ABC, allows air to
|| || || || || || || || || ||
escape and decreases risk of tension pneumothorax)
|| || || || || || ||
A nurse is assessing a client who has a chest tube and
|| || || || || || || || || || || ||
drainage system in place. Which of the following are
|| || || || || || || || ||
expected findings? (select all that apply)
|| || || || ||
,A. Continuous bubbling in the water seal chamber
|| || || || || || ||
B. Gentle constant bubbling in the suction control
|| || || || || || || ||
chamber
C. Rise and fall in the level of water in the water seal
|| || || || || || || || || || || || ||
chamber with inspiration and expiration || || || ||
D. Exposed sutures without dressing
|| || || ||
E. Drainage system upright at chest level - CORRECT
|| || || || || || || || ||
ANSWER(S)✔✔B. Gentle constant bubbling in the suction || || || || || || ||
control chamber ||
C. Rise and fall in the level of water in the water seal
|| || || || || || || || || || || || ||
chamber with inspiration and expiration || || || ||
A nurse is assisting a provider with the removal of a chest
|| || || || || || || || || || ||
tube. Which of the following should the nurse instruct the
|| || || || || || || || || ||
client to do?
|| || ||
A. Lie on his left side
|| || || || ||
B. Use the incentive spirometer
|| || || ||
C. Cough at regular intervals
|| || || ||
D. Perform the Valsalva maneuver - CORRECT
|| || || || || || ||
ANSWER(S)✔✔D. Perform the Valsalva maneuver (tell || || || || || ||
client to take a deep breath, exhale and bear down)
|| || || || || || || || ||
A nurse is planning care for a client following the insertion
|| || || || || || || || || ||
of a chest tube and drainage system. Which of the
|| || || || || || || || || || ||
, following should be included in the plan of care? (select
|| || || || || || || || || ||
all that apply)|| ||
A. Encourage the client to cough every 2 hours
|| || || || || || || ||
B. Check for continuous bubbling in the suction chamber
|| || || || || || || ||
C. Strip the drainage tubing every 4 hours
|| || || || || || ||
D. Clamp the tube once a day
|| || || || || ||
E. Obtain a chest x-ray - CORRECT ANSWER(S)✔✔A.
|| || || || || || || ||
Encourage the client to cough every 2 hours || || || || || || ||
B. Check for continuous bubbling in the suction chamber
|| || || || || || || ||
E. Obtain a chest x-ray
|| || || ||
A nurse is orienting a newly licensed nurse who is caring
|| || || || || || || || || || ||
for a client who is receiving mechanical ventilation and is
|| || || || || || || || || ||
on pressure support ventilation (PSV) mode. Which of the
|| || || || || || || || ||
following statements by the newly licensed nurse
|| || || || || || ||
indicates and understanding of PSV? || || || ||
A. "It keeps the alveoli open and prevents atelectasis"
|| || || || || || || ||
B. "It allows preset pressure delivered during spontaneous
|| || || || || || ||
ventilation"
||
C. "It guarantees minimal minute ventilator"
|| || || || ||
D. "It delivers a preset ventilatory rate and tidal volume
|| || || || || || || || || ||
to the client" - CORRECT ANSWER(S)✔✔B. "It allows
|| || || || || || || ||
