Questions 44

ATI RN

ATI RN Test Bank

ATI Med Surg Quiz 1 Questions

Extract:


Question 1 of 5

A nurse is caring for a client whose arterial blood gas results show a pH of 7.5, an HCO3 of 22, and a PaCO2 of 25 mm Hg. The nurse should identify that the client is experiencing which of the following acid-base imbalances?

Correct Answer: B

Rationale: A pH of 7.5 indicates alkalosis, and a low PaCO2 of 25 mm Hg suggests hyperventilation, pointing to respiratory alkalosis. A would show elevated HCO3, C would have low pH and HCO3, and D would have low pH and high PaCO2.

Question 2 of 5

A nurse is assessing a client who has chronic venous insufficiency. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Chronic venous insufficiency causes venous stasis, leading to iron deposits and bronze/brown skin discoloration. Cool skin, decreased pulses, and claudication are indicative of arterial insufficiency, not venous.

Question 3 of 5

Calculate the heart rate based on this rhythm strip.

Correct Answer: C

Rationale: Using the 6-second rule, count the number of QRS complexes in a 6-second strip and multiply by 10 to get 60 bpm.

Question 4 of 5

A nurse is caring for a client who is taking enalapril (Vasotec). Which of the following outcomes indicates a therapeutic effect of the medication?

Correct Answer: D

Rationale: Enalapril, an ACE inhibitor, lowers blood pressure by preventing vasoconstriction and reducing fluid retention. It does not directly treat claudication or affect cholesterol levels.

Question 5 of 5

A nurse is caring for a client who is being administered spironolactone (Aldactone). Which of the following laboratory values should be monitored due to taking this medication?

Correct Answer: B

Rationale: Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia. Monitoring potassium levels is essential to prevent complications like cardiac arrhythmias. Bicarbonate, troponins, and albumin are not directly affected.

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