ATI RN
ATI Med Surg Exam 1A Questions
Extract:
Client is admitted following cerebrovascular accident (CVA). Client is alert and oriented. Heart rate regular. Respirations rapid and non-labored. Wheezing auscultated in upper lobes of the lungs. Client is receiving 2 U/min of oxygen via nasal cannula. Right upper and lower extremities flaccid with decreased muscle tone and strength. Client sitting up in a chair for lunch. Client states they are right-handed and are having difficulty feeding themselves.
Question 1 of 5
For which of the following interprofessional team members should the nurse anticipate a provider's referral?
Correct Answer: D,E
Rationale: Physical therapy addresses mobility and strength issues, while occupational therapy helps with daily activities like feeding.
Extract:
Question 2 of 5
A nurse is assessing a client who has a sodium level of 116 mEq/L. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Severe hyponatremia (116 mEq/L) causes nausea and vomiting due to CNS disturbance.
Question 3 of 5
A nurse is caring for a client who is postoperative and whose respirations are shallow and 9/min. Which of the following acid-base imbalances should the nurse identify the client as being at risk for developing initially?
Correct Answer: D
Rationale: Shallow, slow respirations cause CO2 retention, increasing the risk of respiratory acidosis.
Question 4 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? pH 7.22, PaCO2 68 mm Hg, Base excess -2, PaO2 78 mm Hg, Saturation 80%, Bicarbonate 26 mEq/L
Correct Answer: A
Rationale: pH 7.22 and PaCO2 68 mm Hg indicate respiratory acidosis due to CO2 retention from hypoventilation.
Question 5 of 5
A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see?
Correct Answer: D
Rationale: Metabolic acidosis is characterized by a pH below 7.35 due to excess acid or low bicarbonate.