ATI RN
ATI Nur285 Med Surg Fall Exam Questions
Extract:
Nurse's Notes: Client admitted to the unit 12 hr ago with pneumonia, over the last 1 hr the client has exhibited dyspnea and restlessness. Respiratory rate is currently 32/min with deep breaths, BP 198/78 mm Hg. Oxygen has been increased from 2 L nasal cannula to 50% face mask with little improvement of oxygen saturation. Current oxygen saturation is 91% on 50% facemask. Arterial blood gases drawn and sent to lab. Diagnostic Results: ABGS: pH 7.25 (7.35 to 7.45), pCO2 62 mm Hg (35 to 45 mm Hg), HCO3-22 mEq/L (22 to 26 mEq/L).
Question 1 of 5
A nurse is caring for a client who has pneumonia on a medical-surgical unit. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: B
Rationale: The client's low pH and high pCO2 indicate respiratory acidosis. Preparing for intubation and administering a bronchodilator address respiratory distress, while monitoring arterial blood gases and ETT placement ensures effective treatment.
Extract:
Question 2 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: C
Rationale: A purplish-colored stoma suggests ischemia or poor circulation, which requires immediate reporting to prevent complications like necrosis.
Question 3 of 5
A 36-year-old patient with suspected gastrointestinal (GI) bleeding undergoes a diagnostic endoscopy which determines the site of bleeding is a duodenal ulcer. The nurse explains to the patient that bleeding ulcers are commonly related to which of the following:
Correct Answer: D
Rationale: NSAIDs inhibit prostaglandin production, which protects the mucosal lining, leading to ulcer formation and bleeding risk.
Question 4 of 5
A nurse in the emergency department is assessing an older adult client who has community-acquired pneumonia. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Confusion is a common finding in older adults with pneumonia, often due to hypoxia, dehydration, or infection-related changes in mental status.
Question 5 of 5
The nurse is completing discharge teaching with a patient following an ileostomy. Which statement by the patient indicates the need for more teaching concerning the ileostomy?
Correct Answer: D
Rationale: Some foods may cause blockages or discomfort post-ileostomy, requiring dietary modifications, indicating a need for further teaching.