ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 of 5
A nurse is reviewing the ABG values of a client. The client has a pH of 7.2, PaCO2 of 60 mm Hg, and HCO3 of 25 mEq/L. The nurse should identify that the client has which of the following acid-base imbalances?
Correct Answer: C
Rationale: The high PaCO2 (>45 mm Hg) and low pH (<7.35) indicate respiratory acidosis, as the client is retaining carbon dioxide, causing an acidic blood state.
Question 2 of 5
A nurse is planning postoperative care for a client who is scheduled for a thoracotomy with chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?
Correct Answer: D
Rationale: A padded clamp occludes the chest tube during transport, preventing pneumothorax, unlike other equipment.
Question 3 of 5
A nurse is caring for a client who is postoperative following a knee replacement. Which of the following actions should the nurse take to promote mobility?
Correct Answer: A
Rationale: A continuous passive motion machine promotes early mobility and prevents stiffness post-knee replacement.
Question 4 of 5
A nurse is performing a physical assessment of a newborn whose mother used cocaine throughout the pregnancy. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Cocaine exposure often causes irritability in newborns due to withdrawal effects, a common finding to expect.
Question 5 of 5
A nurse is assessing a client who has a chest tube in place following thoracic surgery. Which of the following findings indicates a need for intervention?
Correct Answer: D
Rationale: Absence of breath sounds on the affected side suggests a pneumothorax or tube dislodgement, requiring immediate intervention.