ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new diagnosis of type 2 diabetes mellitus and has a referral for dietary consult. The client tells the nurse, 'I will have to eat whatever the dietitian tells me.' Which of the following statements by the nurse encourages the client's involvement in their plan of care?
Correct Answer: B
Rationale: Assisting with a food preference list empowers the client to participate actively in their dietary plan.
Question 2 of 5
A nurse is planning care for a client who is postoperative following insertion of an arteriovenous graft in their left forearm. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Checking the distal pulse ensures adequate circulation and graft patency, critical for monitoring post-arteriovenous graft insertion.
Question 3 of 5
A nurse is reviewing a client's ABG results and notes pH 7.3 (7.35 to 7.45), PaO2 81 mm Hg (80 to 100 mm Hg), PaCO2 50 mm Hg (35 to 45 mm Hg), and HCO3 26 mEq/L (21 to 28 mEq/L). Which of the following acid-base imbalances is the client experiencing?
Correct Answer: D
Rationale: Low pH (7.3) and high PaCO2 (50 mm Hg) indicate respiratory acidosis, likely due to CO2 retention.
Question 4 of 5
A nurse is caring for a client immediately following a lumbar puncture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Lying flat reduces cerebrospinal fluid leakage, preventing post-lumbar puncture headache.
Question 5 of 5
A nurse is providing teaching for the family of a client who has Alzheimer's disease. Which of the following statements should the nurse include?
Correct Answer: B
Rationale: Structured activities help maintain cognitive function and provide routine, which is beneficial for clients with Alzheimer's disease.
Too much stimulation can be overwhelming, a dark room may disorient, and a monthly calendar may not be useful due to memory impairment.