ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who is 12 hr postoperative following a kidney transplant. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Hourly urine output monitoring detects early signs of graft dysfunction, critical post-transplant.
Question 2 of 5
A nurse in a clinic is assessing a client who has type 1 diabetes mellitus. The client is diaphoretic, has a heart rate of 92/min, and reports palpitations. The client states, 'I went for my morning run and feel exhausted.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Exercise can lower blood glucose, and inadequate insulin adjustment may lead to hypoglycemia, suggested by diaphoresis and palpitations.
Question 3 of 5
A nurse is planning care for a client who has GERD and reports regurgitation after eating. Which of the following tests should the nurse anticipate the provider to prescribe for the client?
Correct Answer: B
Rationale: A barium swallow visualizes the esophagus, helping diagnose GERD by showing reflux or structural issues.
Question 4 of 5
A home hospice nurse is caring for a client who has end-stage osteosarcoma and informs the nurse that they have been receiving acupuncture treatment to help with the pain. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Acupuncture can complement pain management but requires provider approval to ensure safety and coordination of care.
Question 5 of 5
A nurse is reviewing a client's ABG results and notes pH 7.3 (7.35 to 7.45), PaO2 81 mm Hg (80 to 100 mm Hg), PaCO2 50 mm Hg (35 to 45 mm Hg), and HCO3 26 mEq/L (21 to 28 mEq/L). Which of the following acid-base imbalances is the client experiencing?
Correct Answer: D
Rationale: Low pH (7.3) and high PaCO2 (50 mm Hg) indicate respiratory acidosis, likely due to CO2 retention.