ATI RN
ATI Med Surg Monroe College Questions
Extract:
Question 1 of 5
A patient experiencing multisystem fluid volume deficit has tachycardia, pale, cool skin, and decreased urine output. The nurse realizes these findings are most likely a direct result of which process?
Correct Answer: B
Rationale: The body's compensatory mechanisms (e.g., sympathetic activation) cause tachycardia, vasoconstriction, and reduced urine output in fluid volume deficit.
Question 2 of 5
A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the ABGs?
Correct Answer: B
Rationale: A low respiratory rate leads to hypoventilation, causing respiratory acidosis with a low pH and high PaCO2 due to carbon dioxide accumulation.
Question 3 of 5
A patient recovering from surgery has an indwelling urinary catheter. For which 24-hour urine output volumes should the nurse notify the patient's healthcare provider?
Correct Answer: A
Rationale: A 24-hour urine output of 600 mL indicates oliguria, suggesting possible dehydration or kidney issues, requiring provider notification.
Question 4 of 5
The nurse is admitting a patient who was diagnosed with acute renal failure. Which electrolyte should the nurse expect to be most affected by this disorder?
Correct Answer: C
Rationale: Acute renal failure commonly causes hyperkalemia due to impaired potassium excretion by the kidneys.
Question 5 of 5
A nurse is assessing a client who has fluid volume deficit. The nurse should expect which of the following findings?
Correct Answer: A
Rationale: Increased BUN reflects concentrated blood in fluid volume deficit due to reduced kidney filtration.