ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing a client for transfer to the ICU for placement of a pulmonary artery catheter. The nurse should explain to the client that this catheter is used to monitor which of the following conditions?
Correct Answer: A
Rationale: A pulmonary artery catheter monitors hemodynamic status, including cardiac output and pressures.
Question 2 of 5
A nurse is caring for a client who has acute kidney injury (AKI). Which of the following arterial blood gas values would the nurse expect this client to have?
Correct Answer: C
Rationale: AKI often causes metabolic acidosis (pH 7.26, HCO3 14) due to acid retention.
Question 3 of 5
A nurse is reviewing the arterial blood gas values for a client. The pH is 7.32, PaCO2 is 48 mm Hg and the HCO3 is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid-base imbalances?
Correct Answer: A
Rationale: pH 7.32 (low), PaCO2 48 mm Hg (high), and normal HCO3 indicate respiratory acidosis from CO2 retention.
Question 4 of 5
A nurse is caring for a client who has quadriplegia from a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 mm Hg and suspects the client is experiencing autonomic dysreflexia. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Elevating the head (high-Fowler's) is the first step to lower BP in autonomic dysreflexia.
Question 5 of 5
A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns?
Correct Answer: D
Rationale: The location of the burn is the priority because burns to the face and neck can compromise the airway, making it the most immediate threat to life.