ATI RN
ATI Med Surg 2 Questions
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?
Correct Answer: D
Rationale: This is correct because these values indicate metabolic acidosis, a common complication of chronic kidney disease due to impaired acid excretion and bicarbonate retention.
Question 2 of 5
A nurse is caring for a client who is in the compensatory stage of shock. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Blood pressure 115/68 mm Hg is correct because it falls within the normal range, which the body maintains during the compensatory stage of shock.
Question 3 of 5
A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse take?
Correct Answer: B
Rationale: Elevating the head of the bed to 30 degrees reduces intracranial pressure by facilitating venous drainage.
Question 4 of 5
A nurse is caring for a client who has a serum potassium level of 5.5 mEq/L. The provider prescribes polystyrene sulfonate. If this medication is effective, the nurse should expect which of the following changes on the client's ECG?
Correct Answer: C
Rationale: This is correct because a reduction of T-wave amplitude is a sign of hyperkalemia reversal. Polystyrene sulfonate lowers serum potassium, reversing ECG changes like peaked T waves.
Question 5 of 5
A nurse is helping to triage a group of clients at a mass casualty incident who were involved in an explosion at a local factory. Which of the following clients should the nurse tag to be the priority for care?
Correct Answer: D
Rationale: This is correct because this client has a life-threatening condition called tension pneumothorax, which requires immediate care. The hissing sound indicates air escaping from the lung, necessitating urgent intervention.