ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has meningitis and a temperature of 39.7°C (103.5°F). The client is prescribed a hypothermia blanket. While using this therapy, the nurse should know that the client must be carefully observed for which of the following complications?
Correct Answer: C
Rationale: Shivering is a natural response to cooling from the hypothermia blanket and may need to be controlled with medications.
Question 2 of 5
A nurse is caring for a client who reports low back pain and asks the nurse for specific exercise recommendations. Which of the following activities should the nurse suggest?
Correct Answer: B
Rationale: Swimming is a low-impact exercise that strengthens back muscles without stressing the spine, ideal for low back pain.
Question 3 of 5
A nurse in a Post Anesthesia Care Unit (PACU) is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: A purplish colored stoma indicates compromised blood flow and is a sign of ischemia, requiring immediate medical attention.
Question 4 of 5
A nurse is assigned to care for a client diagnosed with autoimmune or idiopathic thrombocytopenic purpura (ITP). When reviewing the client's plan of care prior to caring for the client, the nurse should recognize that the priority concern in caring for the client is to monitor for:
Correct Answer: C
Rationale: Thrombocytopenia, or low platelet count, is the hallmark of ITP and the main concern for monitoring, as it increases the risk of bleeding and bruising.
Question 5 of 5
A woman was brought to the emergency department of a hospital after she fell and hurt her left leg. She is noted to be tachycardic and tachypneic. Painkillers were administered to lessen her pain. Suddenly, she started complaining that she is still in pain and now experiencing muscle cramps, tingling, and paresthesia. Measurement of arterial blood gas reveals pH 7.6, PaO2 120 mm Hg, PaCO2 31 mm Hg, and HCO3 25 mmol/L. What does this mean?
Correct Answer: B
Rationale: The elevated pH and low PaCO2 indicate respiratory alkalosis, likely due to hyperventilation. The normal HCO3 suggests that there has been no renal compensation, hence 'uncompensated'.