ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Slow, steady bubbling in the suction control chamber is normal; monitoring is appropriate.
Question 2 of 5
A nurse in the emergency department is caring for a client who has an epidural hematoma following a motor-vehicle crash. Which of the following is an expected finding for this client?
Correct Answer: B
Rationale: Epidural hematomas often present with a lucid interval followed by unconsciousness due to rapid bleeding.
Question 3 of 5
A nurse is caring for a client whose arterial blood gas results show a pH of 7.3 and a PaCO2 of 50 mm Hg. The nurse should identify that the client is experiencing which of the following acid-base imbalances?
Correct Answer: D
Rationale: A pH of 7.3 (low) and PaCO2 of 50 mm Hg (high) indicate respiratory acidosis due to CO2 retention.
Question 4 of 5
A nurse is monitoring the fluid replacement of a client who has sustained burns. The nurse should administer which of the following fluids in the first 24 hr following a burn injury?
Correct Answer: D
Rationale: Lactated Ringer's is the standard fluid for burn resuscitation in the first 24 hours per the Parkland formula.
Question 5 of 5
A nurse is preparing to administer an osmotic diuretic IV to a client with increased intracranial pressure. Which of the following should the nurse identify as the purpose of the medication?
Correct Answer: A
Rationale: Osmotic diuretics like mannitol reduce brain edema by drawing fluid into the bloodstream.