ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
A nurse in an emergency department is caring for a client who has a sucking chest wound resulting from a gunshot. The client has a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Tachypnea and hypotension indicate hypoxemia; oxygen administration is the priority.
Question 2 of 5
A nurse is preparing to administer an osmotic diuretic IV to a client with increased intracranial pressure. Which of the following should the nurse identify as the purpose of the medication?
Correct Answer: A
Rationale: Osmotic diuretics like mannitol reduce brain edema by drawing fluid into the bloodstream.
Question 3 of 5
A nurse is reviewing the laboratory values of a client who has respiratory acidosis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Elevated PaCO2 (50 mm Hg) is expected in respiratory acidosis due to CO2 retention.
Question 4 of 5
A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification?
Correct Answer: C
Rationale: Continuous IV fluids (50 mL/hr) in acute heart failure may worsen fluid overload, requiring clarification.
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).