ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
A client who is having burn debridement states, 'You are the worst nurse I have ever seen. All you do is hurt me.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Tell me more about that' encourages the client to express feelings, promoting therapeutic communication.
Question 2 of 5
A nurse is caring for a client who is experiencing Cushing's triad following a subdural hematoma. Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: Mannitol 25% reduces intracranial pressure, addressing the critical components of Cushing's triad.
Question 3 of 5
A nurse is caring for a client whose arterial blood gas results show a pH of 7.3 and a PaCO2 of 50 mm Hg. The nurse should identify that the client is experiencing which of the following acid-base imbalances?
Correct Answer: D
Rationale: A pH of 7.3 (low) and PaCO2 of 50 mm Hg (high) indicate respiratory acidosis due to CO2 retention.
Question 4 of 5
A nurse is monitoring a client who has a chest tube in place connected to wall suction due to a right-sided pneumothorax. The client complains of chest burning. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Repositioning the client can alleviate discomfort from the chest tube without risking complications.
Question 5 of 5
A nurse is caring for a client who is experiencing Cushing's triad following a subdural hematoma. Which of the following medications should the nurse plan to administer?
Correct Answer: C
Rationale: Mannitol 25% is administered to reduce intracranial pressure, a key component of Cushing's triad (hypertension, bradycardia, irregular respirations).