ATI RN
ATI RN Adult Medical Surgical 2023 V Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse in the PACU is caring for a client following a thyroidectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Dyspnea post-thyroidectomy may indicate airway obstruction or hematoma, a critical finding requiring immediate reporting.
Question 3 of 5
A nurse is preparing to administer a unit of packed RBCs to a female client who has a hemoglobin of 7.2 g/dL (12 to 16 g/dL). Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Verifying type and crossmatch ensures safe transfusion, preventing hemolytic reactions.
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 caring for a client who has a spinal cord injury and has developed autonomic dysreflexia. Identify the sequence of steps the nurse should take.
Order the Items
Source Container
Correct Answer: B,D,C,A
Rationale: Upright positioning reduces blood pressure, checking the bladder addresses a common trigger, antihypertensives treat severe hypertension, and documentation follows.