Questions 49

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ATI Nur 285 Med Surg Exam Questions

Extract:


Question 1 of 5

A client diagnosed with renal calculi is admitted to the medical unit with renal colic. Which interventions should the nurse implement the first?

Correct Answer: A

Rationale: Pain assessment and management are a priority in renal colic due to the severe discomfort it causes, and prompt treatment is necessary.

Question 2 of 5

A nurse is caring for a client who has the following arterial blood gas results: HCO, 20 mEq, PaCO2 40 mm Hg and pH 7.32. The nurse recognizes the client is experiencing which of the following acid base imbalances?

Correct Answer: C

Rationale: Metabolic acidosis is indicated by a low HCO₃ level (below 22 mEq/L) and low pH, consistent with the given values.

Question 3 of 5

A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see?

Correct Answer: B

Rationale: A pH below 7.35 is indicative of acidosis, supporting a diagnosis of metabolic acidosis if other findings align.

Question 4 of 5

A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?

Correct Answer: D

Rationale: Pale pink urine is a common and expected variation after a transurethral prostatectomy, indicating minor bleeding or irritation without significant risk.

Question 5 of 5

A client is reporting chills, fever, and left costovertebral pain. Which diagnostic test should the nurse expect the healthcare provider to prescribe first?

Correct Answer: C

Rationale: A midstream urine culture is often the initial diagnostic test for suspected urinary tract infections or pyelonephritis, based on symptoms of chills, fever, and flank pain.

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