ATI RN
ATI Med Surg Quiz 1 Questions
Extract:
Question 1 of 5
A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see?
Correct Answer: C
Rationale: Metabolic acidosis is characterized by a pH below 7.35 and HCO3 below 22 mEq/L, reflecting acid accumulation or base loss. A indicates metabolic alkalosis, B respiratory acidosis, and D compensatory mechanisms.
Extract:
Medication Administration Record
Vital Signs
1020:
Skin warm and dry. Awake. alert and oriented x3. Transferred to bed from chair. Sat up in chair x3 hours with legs dependent. Reports pain in legs as 4 on a scale of 0 to 10- Dilated veins noted on bilateral lower extremities. Pitting edema 3+ noted to bilateral lower extremities with hyperpigmentation of the skin. Pedal pulses palpable at 2+. Small ulcers noted on bilateral lower legs. Intermittent pneumatic compression pumps intact bilaterally.
A nurse is caring for a client who is experiencing peripheral venous disease.
Question 2 of 5
Which of the following interventions would the nurse include in the plan of care for this client? (Select all that apply)
Correct Answer: A,C,E
Rationale: Elevating legs reduces edema, smoking cessation improves vascular health, and compression stockings enhance venous return. Bed rest, high BMI, and prolonged sitting with legs dependent worsen venous disease.
Extract:
Question 3 of 5
The nurse is caring for a client diagnosed with Raynaud's phenomena. The nurse will prioritize educating the client about implementing which intervention?
Correct Answer: A
Rationale: Avoiding cold exposure is critical because cold can trigger vasospasms of small arteries in the fingers and toes, leading to pain, pallor, cyanosis, and numbness. Stress is a major trigger for Raynaud's episodes, loose warm gloves are recommended, and caffeine is a vasoconstrictor that can worsen symptoms.
Question 4 of 5
A nurse is assessing a client who has bradycardia. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Lightheadedness occurs due to decreased cardiac output from a slow heart rate in bradycardia. Fluid volume deficit usually causes tachycardia, anxiety increases heart rate, and fever also increases heart rate, not decreases it.
Question 5 of 5
A client with pneumonia presents with wheezing on auscultation. The nurse would anticipate which medication to be ordered?
Correct Answer: C
Rationale: Albuterol and ipratropium are bronchodilators that relieve wheezing by relaxing airway muscles, appropriate for pneumonia-related bronchospasm. A is a diuretic, B is an expectorant, and D is a mucolytic, none of which address wheezing.