ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the following instructions should the nurse include? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Blowing the nose gently, lubricating lips with water-soluble ointment, and brushing teeth with a soft toothbrush are advised to prevent bleeding risks associated with thrombocytopenia.
Question 2 of 5
A nurse is assessing a male client who has advanced peripheral artery disease (PAD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Pain at rest is a common symptom of advanced PAD, indicating severely reduced blood flow.
Question 3 of 5
A nurse is assigned to care for a client diagnosed with autoimmune or idiopathic thrombocytopenic purpura (ITP). When reviewing the client's plan of care prior to caring for the client, the nurse should recognize that the priority concern in caring for the client is to monitor for:
Correct Answer: C
Rationale: Thrombocytopenia, or low platelet count, is the hallmark of ITP and the main concern for monitoring, as it increases the risk of bleeding and bruising.
Question 4 of 5
A nurse is discussing laboratory values associated with the renal system with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the renal system?
Correct Answer: B
Rationale: A GFR below 60 mL/min/1.73 m for three months or more is a criterion for diagnosing chronic kidney disease.
Question 5 of 5
George, an 85yearold man with a history of chronic obstructive pulmonary disease, was rushed to the emergency department with increasing shortness of breath, restlessness, and difficulty communicating due to his inability to complete a sentence. On assessment, tachycardia and a bounding pulse were noted. Wheezes could be heard in the lower lobes. His blood gas shows a pH of 7.3, PaCO2 of 68 mmHg, HCO3 of 28 mmol/L, and PaO2 of 60 mmHg. How would you interpret this?
Correct Answer: C
Rationale: George's high PaCO2 and near normal HCO3 suggest respiratory acidosis, with partial compensation by retaining HCO3.