ATI RN
ATI Med Surg Exam 1A Questions
Extract:
Question 1 of 5
A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the ABGs? pH 7.22, PaCO2 68 mm Hg, Base excess -2, PaO2 78 mm Hg, Saturation 80%, Bicarbonate 26 mEq/L
Correct Answer: A
Rationale: pH 7.22 and PaCO2 68 mm Hg indicate respiratory acidosis due to CO2 retention from hypoventilation.
Question 2 of 5
A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor?
Correct Answer: A,B,C,D
Rationale: Metabolic alkalosis causes lethargy, circumoral paresthesia, bicarbonate excess, and flushing due to high pH and bicarbonate levels.
Question 3 of 5
A nurse is caring for a client who is postoperative and whose respirations are shallow and 9/min. Which of the following acid-base imbalances should the nurse identify the client as being at risk for developing initially?
Correct Answer: D
Rationale: Shallow, slow respirations cause CO2 retention, increasing the risk of respiratory acidosis.
Question 4 of 5
A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?
Correct Answer: A
Rationale: Generalized urticaria (hives) is a common sign of an allergic transfusion reaction.
Question 5 of 5
A nurse is assessing a client who has a sodium level of 116 mEq/L. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Severe hyponatremia (116 mEq/L) causes nausea and vomiting due to CNS disturbance.