ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has chronic bronchitis. Which of the following percussion sounds should the nurse expect?
Correct Answer: C
Rationale: Resonance is the normal percussion sound over healthy lung fields, expected in chronic bronchitis as the lung parenchyma remains relatively unaffected.
Question 2 of 5
A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?
Correct Answer: B
Rationale: Hyperkalemia, which is a high level of potassium in the blood, is a common electrolyte imbalance seen in prerenal AKI due to decreased kidney function and the inability to excrete potassium.
Question 3 of 5
A nurse is caring for a client who had a stroke involving the right cerebral hemisphere. The nurse should monitor for which of the following findings?
Correct Answer: D
Rationale: Individuals with right hemisphere strokes may exhibit poor impulse control, as the right hemisphere is involved in judgment and behavior regulation.
Question 4 of 5
A woman was brought to the emergency department of a hospital after she fell and hurt her left leg. She is noted to be tachycardic and tachypneic. Painkillers were administered to lessen her pain. Suddenly, she started complaining that she is still in pain and now experiencing muscle cramps, tingling, and paresthesia. Measurement of arterial blood gas reveals pH 7.6, PaO2 120 mm Hg, PaCO2 31 mm Hg, and HCO3 25 mmol/L. What does this mean?
Correct Answer: B
Rationale: The elevated pH and low PaCO2 indicate respiratory alkalosis, likely due to hyperventilation. The normal HCO3 suggests that there has been no renal compensation, hence 'uncompensated'.
Question 5 of 5
A nurse is performing discharge teaching for a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: SLE patients are often photosensitive and need to protect their skin from UV rays.