ATI RN
ATI Med Surg Exam 1A Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative and whose respirations are shallow and 9/min. Which of the following acid-base imbalances should the nurse identify the client as being at risk for developing initially?
Correct Answer: D
Rationale: Shallow, slow respirations cause CO2 retention, increasing the risk of respiratory acidosis.
Question 2 of 5
A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess?
Correct Answer: A,B,C
Rationale: Crackles, bounding pulse, and pitting edema indicate fluid overload; swelling at the IV site is localized, and high urine specific gravity suggests dehydration.
Question 3 of 5
A nurse is preparing to administer 0.45% sodium chloride (NaCl) 1000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)
Correct Answer: 125
Rationale: Divide 1000 mL by 8 hr: 1000 / 8 = 125 mL/hr.
Question 4 of 5
A nurse is reviewing the laboratory results of a client who has fluid volume deficit. The nurse would expect which of the following findings?
Correct Answer: A
Rationale: Urine specific gravity of 1.035 indicates concentrated urine, consistent with fluid volume deficit.
Question 5 of 5
A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Respiratory acidosis causes acidemia, affecting the central nervous system, leading to lethargy and altered mental status.