Exam (elaborations)
ATI 265 MED SURG UPDATED EXAM (LATEST 2024/2025) 100% GUARANTEED PASS
- Course
- ATI 265 MEd Surg
- Institution
- Galen College Of Nursing
ATI 265 MED SURG UPDATED EXAM (LATEST 2024/2025) 100% GUARANTEED PASS
[Show more]
Content preview
ATI 265 MED SURG UPDATED EXAM (LATEST2024/2025) 100% GUARANTEED PASS
A client has a new tracheostomy, on a MV with the settings: rate of 12, TV 800 Flo2 80% and
PEEP of 5. Which assessment requires immediate action?
- Constant non productive cough
- Rhonchi in upper lobes
- Blood tinged sputum
- Dry mucous membranes
The nurse palpates the posterior chest while the client says 99 and notes absent fremitus.
Which action should the nurse take next?
- Review the chest xray report for evidence of pneumonia
- Encourage the client to turn, cough and deep breathe
- Auscultate anterior and posterior breath sounds bilaterally
- Palpate the anterior chest and observe the barrel chest
The nurse is caring for a client with a PE also has RSHF. which clinical findings requires
immediate follow up?
- 2 plus dep edema to bilateral ext.
- Urinary output of 25 ml/hr
- Heart rate of 115 beats/min
- Respiratory rate of 30
The nurse has been made aware of the ABG results of 4 clients. Which result is most
important?
- Ph 7.31 pa 02 81 pacos 50 02 sat 94
- Ph 7.46 pao2 90 paco2 32 02 98%
- Ph 7.35 pao2 85, paco2 45 o2 95%
- Ph 7.34 pao2 82 paco2 40 o2 97%
The nurse monitors a client after a chest tube insertion for a hemopneumothorax. Which of the
assessments requires immediate follow up?
- Sub q emphysema at insertion site
- Platelets 151000
- Tidaling in the water seal chamber
- 400 ml of blood in collection chamber
When assessing a client who has just arrived afer an auto accident, the er notes hr 125 and
absent breath sounds over right lung. Which action is priority
, - Send client for a state ct scan
- Insertion of chest tube with drainage system
- Administer inhaled bronchodilator
- Prepare for oral intubation with mv
A nurse assesses a client who is experiencing an acid balance imbalance. Ph 7.33, pa 02 88
pacos 38 and hco3 17. Which assessment would the nurse perform first?
- Level or orientation
- Musculoskeletal strength
- Cardiac rate and rhythm
- Skin and mucous membranes
A client admitted to er says he was struck in chest with bat. Which of the assessments requires
immediate follow up?
- Hr of 112
- Decreased tactile fremitus
- Paradoxical chest movement
- Rr 25 o2 sat of 91%
Which client should nurse assess first?
- A client with three fractured ribs request pain meds
- A client with hyperparathyroidism has abdominal pain and nausea
- A client with hypothyroidism reports last bowel movement ws three days ago
- A client admitted with addison's disease complains of dizziness when standing
The nurse auscultates the lungs of a client on mv and hears vesicular breath sounds throughout
the right side but decreased sounds on the left side of chest. Which action should the nurse take
next?
- Turn the client to right side
- Hyperoxygenate
- Assess placement of et tube at lip
- Elevate the head of the bed
A client is admitted from a mva trauma with difficulty breathing. The nurse assesses the clients
color lung sounds and pulse ox is 90. Which is priority intervention.
- Assess an abg
- Administer 2 mg morphine
- Call for chest xray
- Initiate ns ivf
Which client should nurse assess first?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Edumaxsolutions. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
71498 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now