Questions 42

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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.

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