ATI LPN
ATI LPN Med Surg Cohort 6 Exam Questions
Question 1 of 5
A nurse is caring for a patient who has the following arterial blood values: pH 7.12, PaO2 56 mm Hg, PaCO2 65 mm Hg, and HCO3 - 22 mEq/L (22 mmol/L). Which clinical situation does the nurse correlate with these values?
Correct Answer: D
Rationale: Low pH and high PaCO2 indicate respiratory acidosis, consistent with CO2 retention from bronchial obstruction.
Question 2 of 5
A nurse is assessing a patient with hypokalemia, she notes that the patient's handgrip strength has diminished since the previous assessment 1 hour ago. What action does the nurse take first?
Correct Answer: A
Rationale: Hypokalemia can weaken respiratory muscles, so assessing respiratory status is critical to detect compromise.
Extract:
History and Physical
0820:
20-year-old client presents to the emergency department with severe burns. Client Is grimacing and rates pain as 5 on a scale of 0 to 10. Patent airway, No Increased work of breathing.
Vital signs
0820:
• Blood pressure 140/80mmHg
• Heart rate 110/min
• Respiratory rate 25/min
• SaO2 98% on room air
• Temp 36.1 degrees
Assessment
2030:
Client is screaming and crying in pain. Client reports pain as 10 on a scale of 0 to 10. Client is very anxious and is breathing rapidly. Patent airway. Lungs are clear to auscultation bilaterally.
Question 3 of 5
A nurse is assisting in the care of a client who has severe burns. Which of the following actions should the nurse take when caring for a client who has severe burns? Select all that apply.
Correct Answer: B,D
Rationale: Opioids manage severe pain, and benzodiazepines address anxiety, both critical in burn care; ice water and antibiotics are not routinely indicated.
Extract:
Question 4 of 5
Melanocytes give rise to the pigment melanin, which is responsible for skin color. Where can the melanocytes be found?
Correct Answer: B
Rationale: Melanocytes are located in the basal layer of the epidermis, producing melanin for skin pigmentation and UV protection.
Extract:
Admission Notes:
36 y/o female with bilateral leg burns.
NKFDA.
Health history of asthma and seasonal allergies.
Wound Assessment:
Bilateral leg burns present with a white and leather Like appearance.
No blisters or bleeding present.
Patient rates pain 2/10 on a scale of 0 to 1 0
Question 5 of 5
A nurse reviews the following data in the chart of a patient with burn injuries: Based on the data provided, how would the nurse categorize this patients injuries?
Correct Answer: B
Rationale: White, leather-like burns without blisters indicate full-thickness damage, extending through the entire skin.