ATI RN
ATI Adult Medical Surgical Assessment 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is hyperventilating and has the following ABG results: pH 7.50 (7.35 to 7.45), PaCO₂ 29 mm Hg (35 to 45 mm Hg), and HCO₃ 25 mEq/L (21 to 28 mEq/L). The nurse should identify that the client has which of the following acid-base imbalances?
Correct Answer: B
Rationale: A high pH (7.50) and low PaCO₂ (29 mm Hg) indicate respiratory alkalosis, caused by hyperventilation leading to excessive CO₂ exhalation.
Question 2 of 5
A nurse is teaching a client about fecal occult blood testing (FOBT) for the screening of colorectal cancer. Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: Avoiding corticosteroids prevents false-positive FOBT results due to their potential to cause gastrointestinal bleeding.
Question 3 of 5
A nurse is caring for a client who has chronic kidney disease. Which of the following diets should the nurse anticipate the provider to prescribe?
Correct Answer: B
Rationale: A potassium-restricted diet is necessary to prevent hyperkalemia, as CKD impairs potassium excretion, which can lead to dangerous cardiac complications.
Question 4 of 5
A nurse is receiving report on a group of clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: Urticaria and edema after cephalosporin administration suggest a possible allergic reaction, which could progress to anaphylaxis, requiring immediate assessment.
Question 5 of 5
A nurse is planning care for a client who has acute pancreatitis. Which of the following interventions should the nurse include in the client's plan? (Select all that apply.)
Correct Answer: B,E
Rationale: Monitoring blood glucose levels is essential due to potential pancreatic involvement affecting glucose regulation. Managing acute pain is critical for patient comfort and reducing pancreatic stress. Insulin drips are not universally required, regular diets are contraindicated, and prolonged NPO may not be standard per current guidelines.