ATI LPN
ATI LPN Med Surg Midterm Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has acute kidney injury. The client's ABGS are: PH:7.26, PaCO2: 30 mm Hg, HCO3: 14 mEq/L. Which of the following acid-imbalances should the nurse identify the client is experiencing?
Correct Answer: D
Rationale: A pH of 7.26 and low bicarbonate (14 mEq/L) indicate metabolic acidosis, common in acute kidney injury due to impaired acid excretion.
Question 2 of 5
A nurse is assisting with the care of a client who is postoperative following a total knee replacement. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Swelling at the surgical site may indicate infection or hematoma, requiring prompt reporting. Other findings are within normal limits.
Question 3 of 5
A nurse is reinforcing preoperative teaching with a client who is to undergo open abdominal surgery. Which of the following interventions should the nurse include to prevent of postoperative complications?
Correct Answer: C
Rationale: Sequential compression devices prevent venous stasis and deep vein thrombosis, reducing postoperative complications.
Question 4 of 5
A nurse is assisting with a presentation about caring for clients who are receiving diuretic therapy. The nurse should explain that which of the following medications can put clients at risk for hyperkalemia?
Correct Answer: B
Rationale: Spironolactone, a potassium-sparing diuretic, increases the risk of hyperkalemia by promoting potassium retention.
Question 5 of 5
A nurse is assisting with preoperative teaching for a client. Which of the following outcomes should the nurse expect?
Correct Answer: B
Rationale: Preoperative teaching reduces postoperative anxiety by preparing the client for what to expect, improving recovery outcomes. It does not increase pain, reduce respiratory function, or extend hospital stays.