ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has chronic renal failure. The client displays the following ABG results: pH 7.24, PaCO2 44 mm Hg, PaO2 84 mm Hg, HCO3 18 mEq/L, base excess -2, and O2 saturation 95%. The nurse should conclude that the client has which of the following acid-base imbalances?
Correct Answer: D
Rationale: Low pH (7.24) and low HCO3 (18 mEq/L) with normal PaCO2 indicate metabolic acidosis, common in renal failure due to impaired acid excretion.
Question 2 of 5
A nurse is planning care for a client who has full-thickness burns on the lower extremities. Which of the following interventions should the nurse include?
Correct Answer: D
Rationale: Applying new gloves between wound care sites prevents cross-contamination and infection, critical in burn care. Weekly equipment cleaning, fresh produce diets, and limiting child visits are not specific interventions.
Question 3 of 5
A nurse is caring for a client who has a sealed radiation implant. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Limiting family visits to 30 minutes per day reduces radiation exposure. Sharing dosimeter badges, touching dislodged implants, or removing linens after each change are unsafe.
Question 4 of 5
A nurse is caring for a client who has a lower extremity fracture and a prescription for crutches. Which of the following client statements indicates that the client is adapting to their role change?
Correct Answer: C
Rationale: Using crutches to care for a child shows adaptation to the role change. Other statements reflect difficulty or reliance on others, not adaptation.
Question 5 of 5
A nurse is assessing a client who has a pressure ulcer. Which of the following findings should the nurse expect as an indication the wound is healing?
Correct Answer: A
Rationale: Dark red granulation tissue indicates new connective tissue and blood vessel formation, a sign of wound healing. Light yellow exudate may suggest infection, dry brown eschar is dead tissue that hinders healing, and firm wound tissue is not a specific healing indicator.