ATI RN
ATI Med Surg 2 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: C
Rationale: Slow, steady bubbling in the suction control chamber indicates proper suction, so the nurse should continue monitoring.
Question 2 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.
Question 3 of 5
A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure?
Correct Answer: B
Rationale: Respiratory failure is a sign of inhalation anthrax, caused by anthrax spores spreading to the bloodstream.
Question 4 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 5 of 5
A home health nurse is making a home visit to a client who takes a daily diuretic for heart failure. Which of the following manifestations should the nurse identify as indicating the client is hypokalemic?
Correct Answer: A
Rationale: Fatigue is a manifestation of hypokalemia, caused by low potassium affecting muscle and nerve function.