ATI RN Adult Medical Surgical 2023 IV

Extract:

Question 1 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?

A. pH 7.28 (7.35 to 7.45) B. PaCO2 31 mm Hg (35 to 45 mm Hg) C. HCO3 18 mEq/L (21 to 28 mEq/L) D. PaO2 85 mm Hg (72 to 100 mm Hg)

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.

Question 2 of 5

A nurse is planning care for a client who requires insertion of a peripherally inserted central catheter (PICC) line. Which of the following actions should the nurse plan to take?

A. Use a 3 mL syringe when flushing the PICC line. B. Flush the PICC line with 0.9% sodium chloride after medication administration. C. Expect the PICC line to be inserted into a lower extremity vein. D. Monitor for a pneumothorax following insertion of the PICC line.

Correct Answer: B

Rationale: Flushing with 0.9% sodium chloride (
B) maintains PICC patency post-medication. A 10 mL syringe is used (A is incorrect), PICCs are inserted in upper extremities (C is incorrect), and pneumothorax is a risk with central lines, not typically PICCs (
D).

Question 3 of 5

A nurse is caring for a postoperative client who has an indwelling urinary catheter. Which of the following actions should the nurse take when removing the catheter?

A. Rapidly deflate the balloon before removing the tubing. B. Place the client in the dorsal recumbent position, C. Reinsert the catheter if the client does not void within 1 hr. D. Obtain a sterile urine specimen after catheter removal.

Correct Answer: B

Rationale: The dorsal recumbent position (
B) facilitates safe catheter removal. Rapid deflation (
A) can cause trauma, reinsertion (
C) is not standard without assessment, and sterile specimens (
D) are collected before removal if needed.

Question 4 of 5

A nurse in a provider's office is evaluating a client who has been taking lisinopril for hypertension. The nurse should identify which of the following findings as an adverse effect of this medication?

A. Leukocytosis B. Cough C. Hypokalemia D. Bradycardia

Correct Answer: B

Rationale: A dry cough (
B) is a common side effect of ACE inhibitors like lisinopril due to bradykinin accumulation. Leukocytosis (
A), hypokalemia (
C), and bradycardia (
D) are not typical adverse effects.

Question 5 of 5

A nurse is teaching a client who has HIV about infection prevention. The nurse should instruct the client to avoid contact with which of the following items?

A. Soiled cat litter B. Scrambled eggs C. Pasteurized milk D. Electric razor

Correct Answer: A

Rationale: Soiled cat litter (
A) poses a risk of toxoplasmosis, dangerous for HIV clients. Scrambled eggs (
B), pasteurized milk (
C), and electric razors (
D) are safe when properly handled.

ATI RN Adult Medical Surgical 2023 IV | Nurselytic

Nurselytic

ATI RN

ATI RN