Questions 70

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ATI Med Surg Custom N235 Final Summer 2023 Questions

Extract:


Question 1 of 5

A nurse is reviewing the laboratory values of a client who has respiratory acidosis. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Elevated PaCO2 (50 mm Hg) is expected in respiratory acidosis due to CO2 retention.

Question 2 of 5

A nurse is caring for a client who has acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)

Correct Answer: B,D,E

Rationale: Severe dyspnea and hypotension (listed twice) are key signs of ARF due to impaired gas exchange.

Question 3 of 5

The nurse is caring for a postoperative client who has a chest tube connected to suction and a water seal drainage system. Which of the following indicates to the nurse that the chest tube is functioning properly?

Correct Answer: B

Rationale: Fluctuation in the water seal chamber indicates the chest tube is patent and functioning, reflecting normal respiratory pressure changes.

Question 4 of 5

A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed-head injury. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Log rolling maintains spinal alignment and minimizes ICP increases during repositioning.

Question 5 of 5

A nurse is monitoring the pulmonary artery wedge pressure (PAWP) for a client. The nurse should identify that a reading of 17 mm Hg is an indication of which of the following conditions?

Correct Answer: C

Rationale: A PAWP of 17 mm Hg (elevated) suggests increased left atrial pressure, commonly due to mitral regurgitation.

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