ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has COPD and reports dyspnea. In which of the following positions should the nurse place the client?
Correct Answer: B
Rationale: Fowler's position (semi-upright) eases breathing in COPD by reducing pressure on the diaphragm.
Question 2 of 5
A nurse is obtaining a blood sample from a client's central venous access device. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Cleaning with povidone-iodine prevents infection when accessing a central venous device.
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 in the PACU is caring for a client following a thyroidectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Dyspnea post-thyroidectomy may indicate airway obstruction or hematoma, a critical finding requiring immediate reporting.
Question 5 of 5
A nurse is preparing to administer a unit of packed RBCs to a female client who has a hemoglobin of 7.2 g/dL (12 to 16 g/dL). Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Verifying type and crossmatch ensures safe transfusion, preventing hemolytic reactions.