ATI RN
ATI Med Surg 2 Respiratory exam Questions
Question 1 of 5
A nurse is caring for a client who has acute pancreatitis. After treating the client's pain, which of the following should the nurse address as the priority intervention?
Correct Answer: A
Rationale: Withholding oral fluids and food is the priority because it reduces pancreatic stimulation and decreases the secretion of pancreatic enzymes, preventing further autodigestion and inflammation.
Extract:
History and Physical
The client was brought to the ED by a family member due to mental status changes. The family member reports that they visit the client every other day, and today the client did not initially recognize them until several minutes into the conversation. The client has diabetes mellitus and takes insulin daily. A wound is noted on the right foot.
Vital Signs
• Temperature: 38.5° C (101.3° F)
• Pulse: 110/min
• Blood pressure: 98/60 mm Hg
• Respiratory rate: 26/min
• Oxygen saturation: 93% on 2 L nasal cannula
Nurses Notes
The client, who was brought to the ED by a family member, exhibited mental status changes today, not recognizing the family member at first. The client has diabetes mellitus and takes insulin daily. They have a wound on the right foot. Initial vital signs upon admission showed a temperature of 38.5° C (101.3° F), pulse of 110/min, blood pressure of 98/60 mm Hg, respiratory rate of 26/min, and oxygen saturation of 93% on 2 L nasal cannula. Arterial blood gases were drawn and sent to the lab.
Diagnostic Results
• RBC Count: 5.0 million cells/mcL (Male: 4.7 to 6.1 million cells/mcL)
• WBC Count: 9,500/mm³ (5,000 to 10,000/mm³)
• Platelets: 57,000/mm³ (150,000 to 400,000/mm³)
• Hemoglobin: 15 g/dL (Male: 14 to 18 g/dL)
• Hematocrit: 45% (Male: 42% to 52%)
• Glucose: 186 mg/dL (74 to 106 mg/dL)
Question 2 of 5
A nurse is caring for a 73-year-old male client in the emergency department (ED). It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications.
Correct Answer: A,B,D,E
Rationale: Obtaining wound and blood cultures identifies the infection source. Administering saline and antibiotics addresses hemodynamic instability and infection promptly.
Extract:
Question 3 of 5
A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply)
Correct Answer: A,B,C,D
Rationale: Moon face, buffalo hump, purple striations, and hypertension are characteristic of Cushing's syndrome due to excess cortisol. Tremors are not typical.
Question 4 of 5
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD) and is short of breath. When reviewing the client's arterial blood gases (ABGs) which of the following conditions should the nurse anticipate the client to be experiencing?
Correct Answer: B
Rationale: Respiratory acidosis occurs due to impaired gas exchange and carbon dioxide retention in COPD.
Question 5 of 5
A nurse is providing education to a client who is suspected of having type 1 diabetes mellitus. Which of the following statements would the nurse include in client education?
Correct Answer: D
Rationale: Type 1 diabetes mellitus is characterized by the autoimmune destruction of beta cells in the pancreas, leading to an absolute lack of insulin production.