ATI RN
ATI RN Adult Medical Surgical 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is reviewing the following ABG results for a postoperative client: pH 7.27, PaCO2 49 mm Hg, PaO2 65 mm Hg, HCO 22 mEq/L. The nurse should interpret the findings as which of the following imbalances?
Correct Answer: A
Rationale: Low pH (7.27) and high PaCO2 (49 mm Hg) with normal HCO3 indicate respiratory acidosis from hypoventilation retaining CO2.
Question 2 of 5
A nurse on an oncology unit is caring for a client who is receiving internal radiation therapy. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Wearing a lead apron protects the nurse from radiation exposure during internal radiation therapy. Other actions increase exposure or violate safety protocols.
Question 3 of 5
A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: Loose stools are expected with an ileostomy due to bypassing the colon. Emptying the bag frequently, avoiding laxatives, and limiting high-fiber foods prevent complications.
Question 4 of 5
A nurse is assessing for early signs of compartment syndrome for a client who has a short-leg fiberglass cast. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Intense pain with movement is an early sign of compartment syndrome due to increased pressure compromising tissue perfusion. Bounding pulses, erythema, and normal capillary refill are not typical early indicators.
Question 5 of 5
A nurse is providing discharge teaching for a client who has osteomyelitis in the left leg. Which of the following findings should the nurse identify as requiring a referral?
Correct Answer: B
Rationale: Long-term IV antibiotic therapy for osteomyelitis requires referral to prevent complications like peripheral thrombophlebitis. Elevated WBC is expected, furosemide is unrelated, and a HbA1c of 6% indicates good glycemic control.