ATI Adult Medical-Surgical Nursing Nclex Questions Stephanie Smith ( 2021/2022 latest update )

ATI Adult Medical-Surgical Nursing Nclex Questions Stephanie Smith ( 2021/2022 latest update )ATI Adult Medical-Surgical Nursing Nclex Questions Stephanie Smith Chapter 26 – Respiratory Failure 1. A nurse in an emergency department is assessing a client who was in a MVC. Findings include absent breath sounds in the left lower lobe with dyspnea, blood pressure 118/68 mm Hg, heart rate 124/min, respirations 38/min, temperature 38.6℃ (101.4℉), and SaO2 92% on room air. Which of the following actions should the nurse take first? A. Obtain a chest x-ray. B. Prepare for chest tube insertion. C. Administer oxygen via a high-flow mask. D. Initiate IV access. 2. A nurse is orienting a newly licensed nurse on the purpose of administering vecuronium to a client who has acute respiratory distress syndrome (ARDS). Which of the following statements by the newly licensed nurse indicates understanding of the teaching? A. “This medication is given to treat infection.” B. “This medication is given to facilitate ventilation.” C. “This medication is given to decrease inflammation.” D. “This medication is given to reduce anxiety.” 3. A nurse is reviewing the health records of five clients. Which of the following clients are at risk for developing acute respiratory distress syndrome? (Select all that apply.) A. A client who experienced a near-drowning incident B. A client following a coronary artery bypass graft surgery. C. A client who has a hemoglobin of 15.1 mg/Dl D. A client who has dysphagia E. A client who experienced a drug overdose 4. A nurse is planning care for a client who has severe acute respiratory distress system (SARS). Which of the following actions should be included in the plan of care for the client? (Select all that apply.) A. Administer antibiotics. B. Provide supplemental oxygen. C. Administer antiviral medications. D. Administer of bronchodilators. E. Maintain ventilatory support. 5. A nurse is caring for a client who is receiving vecuronium for acute respiratory distress syndrome. Which of the following medications should the nurse anticipate administering with this medication? (Select all that apply.) A. Fentanyl B. Furosemide C. Midazolam D. Dexamethasone 1. A nurse is orienting a newly licensed nurse on the care of a client who is to have a line placed for hemodynamic monitoring. Which of the following statements by the newly licensed nurse indicates effectiveness of the teaching? A. “Air should be instilled into the monitoring system prior to the procedure.” B. “The client should be positioned on the left side during the procedure.” C. “The transducer should be level with the second intercostal space after the line is placed.” D. “A chest x-ray is needed to verify placement after the procedure?” 2. A nurse is assessing a client who is undergoing hemodynamic monitoring. The client has a CVP of 7 mm Hg and a PAWP of 17 mm Hg. Which of the following finding should the nurse expect? A. Poor skin turgor B. Bilateral crackles in the lungs C. Jugular vein distension D. Dry mucous membranes E. Hepatomegaly 3. A nurse is teaching a client who is scheduled for an angiography. Which of the following statements should the nurse include in the teaching? (Select all that apply.) A. “You should have nothing to eat or drink for 4 hours prior to the procedure.” B. “You will be given general anesthesia during the procedure.” C. “You should not have this procedure done if you are allergic to eggs.” D. “You will need to keep your affected leg straight following the procedure.” Rationale: D- The nurse should instruct the client of the need to remain on bed rest in the supine 4. A nurse at a provider’s office is reviewing the laboratory test results for a group of clients. The nurse should identify that which of the following results indicates the client is at risk for heart disease? (Select all that apply.) A. Cholesterol (total) 245 mg/Dl B. HDL 90 mg/dL C. LDL 140 mg/Dl D. Triglycerides 125 mg/Dl E. Troponin I 0.02 ng/mL 5. A nurse is planning care for a client who has a PICC line in the right arm. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Use a 10 mL syringe to flush the PICC line. B. Apply gentle force if resistance is met during injection. C. Cleanse ports with alcohol for 15 seconds prior to use. D. Maintain a transport dressing over the insertion sit. E. Flush with 10 mL heparin before and after medication administration. 1. A nurse on a cardiac unit is caring for a group of clients. The nurse should recognize which of the following clients as being at risk for the development of a dysrhythmia? (Select all that apply.) A. A client who has metabolic alkalosis B. A client who has a serum potassium level of 4.3 mEq/L C. A client who has an SaO2 of 96% D. A client who had COPD E. A client who underwent stent placement in a coronary artery