ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a spinal cord injury and is developing autonomic dysreflexia. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Placing the client in a sitting position helps lower blood pressure by promoting venous return, addressing the hypertensive crisis first.
Question 2 of 5
Mrs. Jamerson, who is in the post anesthesia care unit (PACU) following surgery, is difficult to arouse and demonstrates shallow breathing. The patient does not respond to any stimuli. The nurse assesses the patient and obtains arterial blood gas (ABG) measurements STAT. The ABG shows a pH of 7.10, PaCO2 of 70 mm Hg, and HCO3 of 24 mEq/L. What does this mean?
Correct Answer: B
Rationale: Respiratory Acidosis Uncompensated is indicated by an acidic pH under 7.35 and an elevated PaCO2 over 45 mmHg, with HCO3 in the normal range.
Question 3 of 5
A nurse is assessing a client who has a left lower arm fracture. Which of the following findings indicates impaired venous return in the client's affected arm?
Correct Answer: C
Rationale: Increasing edema is a sign of impaired venous return as it indicates a buildup of fluid in the tissues, which can occur if the veins are not effectively returning blood to the heart.
Question 4 of 5
A nurse is caring for a client who has a spinal cord injury and is developing autonomic dysreflexia. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Placing the client in a sitting position helps lower blood pressure by promoting venous return, addressing the hypertensive crisis first.
Question 5 of 5
A nurse is creating a dietary plan for an adult female client who has a hemoglobin level of 9.8 g/dL. Which of the following foods should the nurse recommend?
Correct Answer: D
Rationale: Raisins are a good source of iron and can help increase hemoglobin levels.