ATI LPN
PN ATI Learning System Medical Surgical Final Quiz Questions
Extract:
Question 1 of 5
A nurse is reviewing a client's laboratory report. The client's ABG levels are pH 7.5, PaCO2 32 mm Hg, and HCO3 24 mEq/L. The nurse should determine that the client has which of the following acid-base imbalances?
Correct Answer: A
Rationale: Respiratory alkalosis occurs when the blood pH is high, the PaCO2 is low, and the HCO3 is normal or low, typically due to hyperventilation.
Question 2 of 5
A nurse is preparing to care for a group of clients after receiving change-of-shift report. From which of the following clients should the nurse collect data first?
Correct Answer: C
Rationale: Dyspnea in emphysema indicates respiratory distress, requiring immediate assessment.
Question 3 of 5
A nurse is collecting data from a client who has a fractured left femur and is in skeletal traction. Which of the following findings should the nurse identify as an indication of fat emboli to report to the provider?
Correct Answer: C
Rationale: Chest petechiae are a sign of fat emboli, a serious complication requiring immediate reporting.
Question 4 of 5
A nurse is collecting data from a client who has encephalitis due to West Nile virus. Which of the following findings should the nurse expect?
Correct Answer: B,C,E
Rationale: Stiff neck, photophobia, and lethargy are expected signs of encephalitis due to meningeal irritation and altered mental status.
Question 5 of 5
A home health nurse enters a client's home and finds a used insulin syringe, without a cap, on the table. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing the syringe in a puncture-proof disposal container can prevent accidental injuries and infections, and comply with the local regulations for sharps disposal.