ATI RN Adult Medical Surgical 2023 IV

Question 1 of 5

A nurse is reviewing the arterial blood gas report of a client who is in metabolic acidosis. Which of the following findings should the nurse expect?

A. pH 7.28 (7.35 to 7.45)B. PaCO2 31 mm Hg (35 to 45 mm Hg)C. HCO3 18 mEq/L (21 to 28 mEq/L)D. PaO2 85 mm Hg (72 to 100 mm Hg)

Correct Answer: A

Rationale: A pH of 7.28 (
A) indicates acidosis, consistent with metabolic acidosis (low HCO3). PaCO2 (
B) reflects respiratory compensation, HCO3 (
C) confirms the metabolic cause, and PaO2 (
D) is unrelated to acid-base status.

Question 2 of 5

A nurse is caring for a client who has a spinal cord injury and has developed autonomic dysreflexia. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Order the Items

Source Container

Confirm that the client's bladder is empty.

Indicate the risk for autonomic dysreflexia in the client's medical record.

Place the client in an upright sitting position.

Administer an antihypertensive medication intravenously.

Correct Answer: C,A,D,B

Rationale: Upright positioning (
C) reduces blood pressure, checking bladder (
A) addresses triggers, antihypertensives (
D) manage hypertension, and documentation (
B) follows treatment.

Question 3 of 5

A charge nurse on a neurological unit is making room assignments for a group of clients. Which of the following clients should the nurse assign to the room closest to the nurses' station?

A. A client who has a headache following a grade 1 concussionB. A client who has a score of 0 on the NIH Stroke Scale following a transient ischemic attackC. A client who has experienced brain death and is awaiting organ procurementD. A client who has a score of 10 on the Glasgow Coma Scale following a motor vehicle crash

Correct Answer: D

Rationale: A GCS of 10 (
D) indicates moderate brain injury, requiring close monitoring. Concussion (
A), TIA (
B), and brain death (
C) are less acute or stable.

Question 4 of 5

A nurse is admitting a client who has meningitis. Which of the following findings should the nurse expect?

A. BradycardiaB. Intermittent headacheC. Petechiae on the chestD. Photophobia

Correct Answer: D

Rationale: Photophobia (
D) is common in meningitis due to meningeal irritation. Bradycardia (
A) is rare, headaches (
B) are constant, and petechiae (
C) are specific to certain types like meningococcal.

Question 5 of 5

A nurse is assessing a client who is 4 hr. postoperative following arterial revascularization of the left femoral artery. Which of the following findings should the nurse report to the provider immediately?

A. Pallor in the affected extremityB. Urine output 150 mL over 4 hrC. Temperature of 37.9°C (100.2°F)D. Bruising around the incisional site

Correct Answer: A

Rationale: Pallor (
A) suggests compromised blood flow, a critical complication post-revascularization. Urine output (
B) is adequate, mild fever (
C) is expected, and bruising (
D) is common.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

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ATI RN

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