ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A woman was brought to the emergency department of a hospital after she fell and hurt her left leg. She is noted to be tachycardic and tachypneic. Painkillers were administered to lessen her pain. Suddenly, she started complaining that she is still in pain and now experiencing muscle cramps, tingling, and paresthesia. Measurement of arterial blood gas reveals pH 7.6, PaO2 120 mm Hg, PaCO2 31 mm Hg, and HCO3 25 mmol/L. What does this mean?
Correct Answer: B
Rationale: The elevated pH and low PaCO2 indicate respiratory alkalosis, likely due to hyperventilation. The normal HCO3 suggests that there has been no renal compensation, hence 'uncompensated'.
Question 2 of 5
A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The oliguric phase is defined by a urine output of less than 400 mL per 24 hours due to decreased kidney function.
Question 3 of 5
A nurse is performing an integumentary assessment for a client. Which of the following findings should the nurse identify as possible squamous cell carcinoma?
Correct Answer: C
Rationale: Squamous cell carcinoma can present as a firm nodule with a hard, scaly crust on the skin.
Question 4 of 5
A nurse is reviewing the laboratory test results from a client who has prerenal acute kidney injury (AKI). Which of the following electrolyte imbalances should the nurse expect?
Correct Answer: B
Rationale: Hyperkalemia, which is a high level of potassium in the blood, is a common electrolyte imbalance seen in prerenal AKI due to decreased kidney function and the inability to excrete potassium.
Question 5 of 5
A client is about to undergo an abdominal paracentesis. In which of the following positions should the nurse place the client?
Correct Answer: D
Rationale: The upright position is preferred because it allows the fluid to pool at the lowest point of the abdominal cavity, facilitating its removal.