ATI RN
ATI Med Surg Exam 1A Questions
Extract:
Question 1 of 5
A nurse is reviewing the arterial blood gas values for a client. The pH is 7.32, PaCO2 48 mm Hg and the HCO3 is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid base balances?
Correct Answer: D
Rationale: pH 7.32 and PaCO2 48 mm Hg indicate respiratory acidosis due to CO2 retention.
Question 2 of 5
A nurse is reviewing the arterial blood gas values for a client. The pH is 7.32, PaCO2 48 mm Hg and the HCO3 is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid base balances?
Correct Answer: D
Rationale: pH 7.32 and PaCO2 48 mm Hg indicate respiratory acidosis due to CO2 retention.
Question 3 of 5
A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?
Correct Answer: A
Rationale: Generalized urticaria (hives) is a common sign of an allergic transfusion reaction.
Question 4 of 5
A nurse is assessing a client who is experiencing hypovolemia. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hypovolemia reduces blood volume, leading to oliguria as the body conserves fluid.
Question 5 of 5
A nurse is preparing to administer Ringer's lactate 500 mL IV bolus to infuse over 3 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 56
Rationale:
Total drops = 500 mL × 20 gtt/mL = 10,000 gtt. Infusion time = 3 hr × 60 min = 180 min. Rate = 10,000 / 180 ≈ 55.6, rounded to 56 gtt/min.