ATI RN
ATI Med Surg Nursing 300 Day Exam Questions
Extract:
Question 1 of 5
A client diagnosed with a stroke is experiencing homonymous hemianopia. The most appropriate nursing intervention to help the client learn to compensate for this deficit during rehabilitation period would be to:
Correct Answer: B
Rationale: Scanning techniques help clients compensate for visual field loss by actively searching their environment.
Question 2 of 5
The client's arterial blood gases reveal the following results: pH 7.51, PaO2 80 mmHg, PaCO2 28 mmHg, HCO3 24 mEq/L, O2 saturation 92%. The nurse interprets this blood gas result as:Table 9.9 Normal Arterial Blood Gas Values pH (7.35-7.45) PaO2 (80-95 mm Hg) PaCO2 (35-45 mm Hg) HCO3 (22-26 mEq/L) O2 saturation (>95%) Base excess -2 to +2
Correct Answer: A
Rationale: Elevated pH (7.51) and low PaCO2 (28 mmHg) indicate respiratory alkalosis, likely due to hyperventilation.
Question 3 of 5
The physician recommends a carotid endarterectomy for a client with atherosclerosis and a history of transient ischemic attacks (TIAS). The nurse explains that this procedure involves:
Correct Answer: B
Rationale: Carotid endarterectomy removes atherosclerotic plaques from the carotid artery in the neck to improve blood flow and reduce stroke risk.
Question 4 of 5
The rehabilitation nurse determines that the client who has had a hemorrhagic stroke is successfully adapting to functional changes if they:
Correct Answer: A
Rationale: Using adaptive equipment indicates successful adaptation by promoting independence despite stroke-related limitations.
Question 5 of 5
The nurse teaches a diabetic client how to perform foot care. Which action by the client would indicate that they can correctly perform foot care?
Correct Answer: C
Rationale: Using a mirror to check foot soles promotes early detection of injuries in diabetic clients.