ATI RN Med Surg Custom Exam 2

Extract:

Question 1 of 5

A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?

A. pH 7.25, HCO3- 19 mEq/L, PaCO2 30 mm Hg. B. pH 7.50, HCO3- 20 mEq/L, PaCO2 32 mm Hg. C. pH 7.55, HCO3- 30 mEq/L, PaCO2 31 mm Hg. D. pH 7.30, HCO3- 26 mEq/L, PaCO2 50 mm Hg.

Correct Answer: A

Rationale: These values indicate metabolic acidosis, which is common in clients with chronic kidney disease. The kidneys are unable to excrete hydrogen ions and reabsorb bicarbonate, leading to a low pH and low bicarbonate levels.

Question 2 of 5

A nurse is teaching about risk factors for developing a stroke with a group of older adult clients. Which of the following nonmodifiable risk factors should the nurse include?

A. History of hypertension. B. History of smoking. C. Obesity. D. Genetics.

Correct Answer: D

Rationale: Genetics is a nonmodifiable risk factor for stroke. Individuals with a family history of stroke are at a higher risk, and this cannot be changed.

Question 3 of 5

While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client's care?

A. Impaired tissue perfusion. B. Alteration in activity tolerance. C. Impaired skin integrity. D. Alteration in body image.

Correct Answer: A

Rationale: Varicose veins with ulcerations and lower extremity edema indicate poor blood flow, hence impaired tissue perfusion is the priority.

Question 4 of 5

A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?

A. This test will tell your doctor how your kidneys are functioning. B. This test will tell if you have severe renal impairment or a disease. C. We'll find out if any medications, such as steroids, are interfering with your kidney function. D. You'll have to ask your doctor.

Correct Answer: A

Rationale: Serum creatinine level is a reliable indicator of kidney function.

Question 5 of 5

A nurse is preparing to administer gabapentin 900 mg PO once daily for a client who has neuropathic pain. The amount available is gabapentin 300 mg/capsule. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Your Answer:

Correct Answer: 3

Rationale: The correct answer is 3 capsules. Calculation: 900 mg (desired dose) / 300 mg (available dose) = 3 capsules.

ATI RN Med Surg Custom Exam 2 | Nurselytic

Nurselytic

ATI RN

ATI RN