ATI LPN
ATI PN Adult Medical Surgical 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has pneumonia with dyspnea. The client's ABG results are pH 7.30, PaCO2 50 mm Hg, HCO3 26 mEq/L. The nurse should recognize that the client has which of the following acid-base imbalances?
Correct Answer: D
Rationale: The ABG results show a low pH (7.30) and high PaCO2 (50 mm Hg), indicating respiratory acidosis, which occurs due to impaired gas exchange and carbon dioxide retention in conditions like pneumonia.
Question 2 of 5
A nurse is providing care for a client who has hemophilia and is bleeding from a small laceration on his arm. After applying a sterile dressing, which of the following actions should the nurse take next?
Correct Answer: A
Rationale: Maintaining direct pressure promotes clot formation in hemophilia, where clotting is impaired, to control bleeding effectively.
Question 3 of 5
A nurse is reinforcing teaching with a client who is scheduled for a cardiac catheterization. Which of the following should the nurse tell the client to expect during injection of the contrast medium?
Correct Answer: D
Rationale: A feeling of heat is a common sensation during contrast medium injection in cardiac catheterization due to vasodilation.
Question 4 of 5
A nurse is caring for a client who has a urinary tract infection and a prescription for ciprofloxacin. Which of the following instructions should the nurse reinforce to the client?
Correct Answer: B
Rationale: Avoiding calcium supplements prevents reduced absorption of ciprofloxacin, ensuring its effectiveness against the infection.
Question 5 of 5
A nurse is caring for a client in hospice care who is dying. The client's partner expresses concern that the client is sleeping more than in the previous week. Which of the following is an appropriate response by the nurse?
Correct Answer: D
Rationale: Sitting quietly near the bedside offers emotional support and acknowledges the partner's concern, aligning with the comfort-focused goals of hospice care.