ATI RN
ATI RN Adult Medical Surgical 2023 IV Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Correct Answer: B
Rationale: Cloudy effluent (
B) is the earliest sign of peritonitis in peritoneal dialysis, indicating infection. Fever (
A), tachycardia (
C), and pain (
D) appear later.
Question 2 of 5
A nurse is providing teaching to a client and his partner about performing peritoneal dialysis at home. When discussing peritonitis, which of the following manifestations should the nurse identify as the earliest indication of this complication?
Correct Answer: B
Rationale: Cloudy effluent (
B) is the earliest sign of peritonitis in peritoneal dialysis, indicating infection. Fever (
A), tachycardia (
C), and pain (
D) appear later.
Question 3 of 5
A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Fluctuation in the water-seal chamber (
D) reflects normal intrapleural pressure changes with breathing. Full re-expansion (
A), high suction (
B), or air leaks (
C) have different signs.
Question 4 of 5
A nurse is assessing a client following the administration of an initial dose of captopril. Which of the following findings indicates an anaphylactic response?
Correct Answer: D
Rationale: Laryngeal edema (
D) is a life-threatening sign of anaphylaxis. Fever (
A), hypertension (
B), and arrhythmia (
C) are not typical of an allergic response to captopril.
Question 5 of 5
A nurse is reviewing the arterial blood gas report of a client who is in metabolic acidosis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A pH of 7.28 (
A) indicates acidosis, consistent with metabolic acidosis (low HCO3). PaCO2 (
B) reflects respiratory compensation, HCO3 (
C) confirms the metabolic cause, and PaO2 (
D) is unrelated to acid-base status.