ATI RN
ATI Med Surg 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who was admitted with bleeding esophageal varices and has an esophagogastric balloon tamponade with a Sengstaken-Blakemore tube to control the bleeding. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Providing frequent oral and nares care prevents infection and irritation from the tube.
Question 2 of 5
A nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. His blood urea nitrogen (BUN) is 32 mg/dL, creatinine 1.1 mg/dL, and hematocrit 50%. Which of the following nursing interventions is appropriate?
Correct Answer: B
Rationale: This is correct because evaluating urine for amount and specific gravity can assess hydration status and renal function, indicated by elevated BUN, creatinine, and hematocrit.
Question 3 of 5
A nurse in the emergency room is caring for a client who presents with manifestations that indicate a myocardial infarction. Which of the following prescriptions should the nurse take first?
Correct Answer: B
Rationale: Initiating oxygen therapy ensures adequate oxygenation to prevent further myocardial damage.
Question 4 of 5
A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?
Correct Answer: B
Rationale: Oliguria is an expected finding in hypovolemic shock due to reduced renal perfusion.
Question 5 of 5
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?
Correct Answer: D
Rationale: This is correct because these values indicate metabolic acidosis, a common complication of chronic kidney disease due to impaired acid excretion and bicarbonate retention.