ATI RN
ATI Med Surg Monroe College Questions
Extract:
Question 1 of 5
A patient newly diagnosed with diabetes mellitus is admitted to the emergency department with nausea, vomiting, and abdominal pain. ABG results reveal a pH of 7.2 and a bicarbonate level of 20 mEq/L. What other assessment findings should the nurse anticipate in this patient? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: Metabolic acidosis in diabetic ketoacidosis causes Kussmaul respirations, dysrhythmias, tachycardia, and weakness.
Question 2 of 5
The nurse is concerned that a patient recovering from a thyroidectomy is developing hypocalcemia. What findings did the nurse use to come to this conclusion? (Select all that apply)
Correct Answer: A,B,C,D
Rationale: Chvostek's sign, Trousseau's sign, and paresthesia (numbness/tingling) are indicators of hypocalcemia.
Question 3 of 5
The nurse is caring for a patient who is anxious and dizzy following a traumatic experience. The arterial blood gas findings include: pH 7.48, PaO2 110, PaCO2 25, and HCO3 24. Which intervention should the nurse expect to be prescribed to correct this problem?
Correct Answer: D
Rationale: Rebreathing into a paper bag increases PaCO2, correcting respiratory alkalosis caused by hyperventilation.
Question 4 of 5
A nurse is caring for a patient whose sodium level is 118 mEq/L. Which nursing diagnosis is a priority for this patient?
Correct Answer: B
Rationale: Severe hyponatremia (118 mEq/L) can cause cerebral edema, leading to disturbed sensory perception, a priority diagnosis.
Question 5 of 5
An older patient comes into the clinic complaining of watery diarrhea for several days with abdominal and muscle cramping. The nurse realizes that this patient is demonstrating which imbalance?
Correct Answer: B
Rationale: Watery diarrhea causes sodium loss, leading to hyponatremia, which manifests as abdominal and muscle cramping.