ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 4
A nurse is caring for a client who is receiving positive-pressure mechanical ventilation. Which of the following interventions should the nurse implement to prevent complications? (Select all that apply.)
Correct Answer: A,C,E
Rationale: Verifying settings prevents errors, pantoprazole prevents ulcers, and elevating the head reduces aspiration risk.
Question 2 of 4
A nurse is caring for a client who has acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Severe dyspnea and hypotension (listed twice) are key signs of ARF due to impaired gas exchange.
Question 3 of 4
A nurse is reviewing the arterial blood gas results for a client in the ICU who has kidney failure and determines the client has respiratory acidosis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Widened QRS complexes can occur in respiratory acidosis due to hyperkalemia from kidney failure.
Question 4 of 4
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?
Correct Answer: B
Rationale: 0.9% sodium chloride IV bolus corrects dehydration and hypotension in DKA.
Question 5 of 4
A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification?
Correct Answer: C
Rationale: Continuous IV fluids (50 mL/hr) in acute heart failure may worsen fluid overload, requiring clarification.