ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
A nurse in an emergency department is reviewing the medical record of a client who has an extensive burn injury. Which of the following laboratory results should the nurse expect?
Correct Answer: C
Rationale: Extensive burns cause hemolysis and fluid shifts, leading to low hemoglobin.
Question 2 of 5
A nurse is monitoring an older adult female client who had a myocardial infarction (MI) for the development of an acute kidney injury (AKI). Which of the following findings should the nurse identify as indicating an increased risk of AKI?
Correct Answer: D
Rationale: Elevated serum creatinine (1.8 mg/dL) indicates reduced kidney function, increasing AKI risk post-MI.
Question 3 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 4 of 5
A nurse is monitoring the fluid replacement of a client who has sustained burns. The nurse should administer which of the following fluids in the first 24 hr following a burn injury?
Correct Answer: D
Rationale: Lactated Ringer's is the standard fluid for burn resuscitation in the first 24 hours per the Parkland formula.
Question 5 of 5
A nurse is caring for a client who has acute kidney injury (AKI). Which of the following arterial blood gas values would the nurse expect this client to have?
Correct Answer: C
Rationale: AKI often causes metabolic acidosis (pH 7.26, HCO3 14) due to acid retention.