ATI MEDSURG PROCTORED EXAM 2024 ACTUAL EXAM 3 VERSIONS WITH 400+ QUESTIONS WITH DETAILED VERIFIED ANSWERS AND RATIONALE /A+ GRADE

A nurse is caring for a client who is scheduled for a
thoracentesis. Prior to the procedure, which of the
following actions should the nurse take?
A. Position the client in an upright position, leaning over
the bedside table.
B. Explain the procedure to the client.
C. Obtain ABGs from the client.
D. Administer benzocaine spray to the client -
...ANSWER...A. Position the client in an upright position,
leaning over the bedside table.
A nurse is assessing a client who is in respiratory
distress. The nurse should recognize that which of the
following can cause a low pulse oximetry reading?
(Select all that apply.)
A. Nail polish
B. Inadequate peripheral circulation
C. Hyperthermia
D. Increased Hgb level
E. Edema - ...ANSWER.... Nail polish
B. Inadequate peripheral circulation
E. Edema
A nurse is assessing a client following a bronchoscopy.
Which of the following findings should the nurse
report to the provider?
A. Blood-tinged sputum
B. Dry, nonproductive cough
C. Sore throat
D. Bronchospasms - ...ANSWER...D. Bronchospasms
A nurse is caring for a client who is scheduled for a
thoracentesis. Which of the following supplies
should the nurse ensure is in the client's room? (Select
all that apply.)
A. Oxygen equipment
B. Incentive spirometer
C. Pulse oximeter
D. Sterile dressing
E. Suture removal kit - ...ANSWER...A. Oxygen
equipment
C. Pulse oximeter
D. Sterile dressing
A nurse is caring for a client following a thoracentesis.
Which of the following clinical manifestations
should the nurse recognize as risks for complications?
(Select all that apply.)
A. Dyspnea
B. Localized bloody drainage on the dressing
C. Fever
D. Hypotension
E. Report of pain at the puncture site - ...ANSWER...A.
Dyspnea
C. Fever
D. Hypotension
A nurse is preparing to care for a client following chest
tube placement. Which of the following items
should be available in the client's room? (Select all that
apply.)
A. Oxygen
B. Sterile water
C. Enclosed hemostat clamps
D. Indwelling urinary catheter
E. Occlusive dressing - ...ANSWER...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 client's chest tube was accidentally removed. Which
of the following actions should the nurse take first?
A. Place the tubing in sterile water to restore the water
seal.
B. Apply sterile gauze to the insertion site.
C. Place tape around the insertion site.
D. Assess the client's respiratory status. -
...ANSWER...B. Apply sterile gauze to the insertion site.