ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?
Correct Answer: C
Rationale: Oliguria is expected in hypovolemic shock due to decreased renal perfusion.
Question 2 of 5
A nurse is caring for a client whose arterial blood gas results show a pH of 7.3 and a PaCO2 of 50 mm Hg. The nurse should identify that the client is experiencing which of the following acid-base imbalances?
Correct Answer: D
Rationale: A pH of 7.3 (low) and PaCO2 of 50 mm Hg (high) indicate respiratory acidosis due to CO2 retention.
Question 3 of 5
A nurse is preparing to administer an osmotic diuretic IV to a client with increased intracranial pressure. Which of the following should the nurse identify as the purpose of the medication?
Correct Answer: A
Rationale: Osmotic diuretics like mannitol reduce brain edema by drawing fluid into the bloodstream.
Question 4 of 5
A nurse is caring for a client who has a disposable three-chamber chest tube in place. Which of the following findings should indicate to the nurse that the client is experiencing a complication?
Correct Answer: A
Rationale: Continuous bubbling in the water-seal chamber indicates an air leak, a potential complication.
Question 5 of 5
A nurse in the emergency department is caring for a client following an automobile crash in which the client was unrestrained and thrown from the vehicle. When assessing the client, the nurse observes clear fluid draining from the client's nose. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: Clear nasal drainage may be CSF; allowing it to drip onto gauze avoids contamination.