ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving a 0.9% sodium chloride via IV infusion. The client has become dyspneic with a blood pressure of 140/100 mm Hg, a fluid intake of 960 mL, and an output of 300 mL in the past 12 hr. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Dyspnea and fluid overload signs suggest slowing the infusion and notifying the provider to prevent worsening heart failure.
Question 2 of 5
A nurse is providing discharge teaching to a client who is postoperative following a total hip arthroplasty. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: A raised toilet seat prevents hip flexion beyond 90 degrees, reducing dislocation risk post-hip arthroplasty.
Question 3 of 5
A nurse is caring for a client who has COPD and reports dyspnea. In which of the following positions should the nurse place the client?
Correct Answer: B
Rationale: Fowler's position (semi-upright) eases breathing in COPD by reducing pressure on the diaphragm.
Question 4 of 5
A nurse is obtaining a blood sample from a client's central venous access device. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Cleaning with povidone-iodine prevents infection when accessing a central venous device.
Question 5 of 5
A nurse is reviewing a client's ABG results and notes pH 7.3 (7.35 to 7.45), PaO2 81 mm Hg (80 to 100 mm Hg), PaCO2 50 mm Hg (35 to 45 mm Hg), and HCO3 26 mEq/L (21 to 28 mEq/L). Which of the following acid-base imbalances is the client experiencing?
Correct Answer: D
Rationale: Low pH (7.3) and high PaCO2 (50 mm Hg) indicate respiratory acidosis, likely due to CO2 retention.