ATI RN
ATI Med Surg 2 Respiratory exam 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: Respiratory acidosis is identified by a low pH, elevated PaCO₂, and normal HCO₃, aligning with the provided values.
Question 2 of 5
A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?
Correct Answer: C
Rationale: Oliguria (reduced urine output) is a primary sign of kidney transplant rejection. It indicates that the transplanted kidney is not functioning properly, which is a critical indicator of rejection.
Question 3 of 5
A nurse is caring for a client who has Cushing's syndrome. The nurse should recognize that which of the following are manifestations of Cushing's syndrome? (Select all that apply)
Correct Answer: A,B,C,D
Rationale: Moon face, buffalo hump, purple striations, and hypertension are characteristic of Cushing's syndrome due to excess cortisol. Tremors are not typical.
Extract:
History and Physical
The client was brought to the ED by a family member due to mental status changes. The family member reports that they visit the client every other day, and today the client did not initially recognize them until several minutes into the conversation. The client has diabetes mellitus and takes insulin daily. A wound is noted on the right foot.
Vital Signs
• Temperature: 38.5° C (101.3° F)
• Pulse: 110/min
• Blood pressure: 98/60 mm Hg
• Respiratory rate: 26/min
• Oxygen saturation: 93% on 2 L nasal cannula
Nurses Notes
The client, who was brought to the ED by a family member, exhibited mental status changes today, not recognizing the family member at first. The client has diabetes mellitus and takes insulin daily. They have a wound on the right foot. Initial vital signs upon admission showed a temperature of 38.5° C (101.3° F), pulse of 110/min, blood pressure of 98/60 mm Hg, respiratory rate of 26/min, and oxygen saturation of 93% on 2 L nasal cannula. Arterial blood gases were drawn and sent to the lab.
Diagnostic Results
• RBC Count: 5.0 million cells/mcL (Male: 4.7 to 6.1 million cells/mcL)
• WBC Count: 9,500/mm³ (5,000 to 10,000/mm³)
• Platelets: 57,000/mm³ (150,000 to 400,000/mm³)
• Hemoglobin: 15 g/dL (Male: 14 to 18 g/dL)
• Hematocrit: 45% (Male: 42% to 52%)
• Glucose: 186 mg/dL (74 to 106 mg/dL)
Question 4 of 5
A nurse is caring for a 73-year-old male client in the emergency department (ED). It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications.
Correct Answer: A,B,D,E
Rationale: Obtaining wound and blood cultures identifies the infection source. Administering saline and antibiotics addresses hemodynamic instability and infection promptly.
Extract:
Question 5 of 5
A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Teaching the parents about cortisol replacement therapy is essential in Addison's disease management, as cortisol deficiency is the primary issue.