ATI RN
ATI N103N103 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which measure is important for the nurse to take?
Correct Answer: A
Rationale: Keeping the drainage system below chest level prevents backflow of fluid/air into the pleural space maintaining negative pressure. Clamping the tube (
B) risks tension pneumothorax emptying the chamber (
C) is unnecessary and disconnecting (
D) disrupts the system.
Question 2 of 5
A nurse is reviewing the arterial blood gas values for a client. The nurse should recognize that the values indicate which of the following acid-base imbalances? pH: 7.56 PaCO2: 55 mmHg HCO3: 33 mEq/L
Correct Answer: A
Rationale: pH 7.56 (high) and HCO3 33 mEq/L (high) indicate metabolic alkalosis with elevated PaCO2 (55 mmHg) suggesting respiratory compensation. Metabolic acidosis (
B) respiratory alkalosis (
C) and respiratory acidosis (
D) do not match the values.
Question 3 of 5
A client wants to start doing magnet therapy. The nurse should explain to the client, which would be a contraindication for the use of magnet therapy?
Correct Answer: B
Rationale: Pacemakers are contraindicated for magnet therapy due to potential interference with device function. Hypothyroidism, narcolepsy, and catheters do not interact with magnetic fields.
Question 4 of 5
A nurse is caring for a client who had an arterial blood gas drawn. The pH on the ABG is 7.10. What acid-base imbalance does this client have?
Correct Answer: C
Rationale: A pH of 7.10 (below 7.35) indicates acidosis. Hyperkalosis (
A) and hyponatremia (
B) are electrolyte imbalances and alkalosis (
D) requires a high pH.
Question 5 of 5
A nurse is caring for a client on postoperative day 2 following abdominal surgery. The surgeon prescribes a full liquid diet. Which food choice would be contraindicated for this client?
Correct Answer: C
Rationale: Mashed potatoes and gravy are not full liquid diet foods as they are not liquid at room temperature. Apple juice (
A) smoothies (
B) and chicken broth (
D) are appropriate for a full liquid diet.