ATI RN
ATI Med Surg 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has bleeding esophageal varices and is being treated with a Sengstaken-Blakemore tube. Which of the following actions should the nurse perform?
Correct Answer: C
Rationale: Constant observation monitors for complications like airway obstruction or balloon rupture.
Question 2 of 5
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?
Correct Answer: D
Rationale: This is correct because these values indicate metabolic acidosis, a common complication of chronic kidney disease due to impaired acid excretion and bicarbonate retention.
Question 3 of 5
A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. Which of the following manifestations should alert the nurse that the client is developing this condition?
Correct Answer: D
Rationale: Breathlessness is a manifestation of left-sided heart failure, caused by pulmonary congestion and edema impairing gas exchange.
Question 4 of 5
A nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. His blood urea nitrogen (BUN) is 32 mg/dL, creatinine 1.1 mg/dL, and hematocrit 50%. Which of the following nursing interventions is appropriate?
Correct Answer: B
Rationale: This is correct because evaluating urine for amount and specific gravity can assess hydration status and renal function, indicated by elevated BUN, creatinine, and hematocrit.
Question 5 of 5
A nurse is participating in a biological disaster simulation where citizens are exposed to pneumonic plague. Which of the following interventions should the nurse plan to use while caring for these clients?
Correct Answer: C
Rationale: This is correct because initiating airborne precautions is necessary for pneumonic plague, which spreads through respiratory droplets or aerosols.