ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
George, an 85yearold man with a history of chronic obstructive pulmonary disease, was rushed to the emergency department with increasing shortness of breath, restlessness, and difficulty communicating due to his inability to complete a sentence. On assessment, tachycardia and a bounding pulse were noted. Wheezes could be heard in the lower lobes. His blood gas shows a pH of 7.3, PaCO2 of 68 mmHg, HCO3 of 28 mmol/L, and PaO2 of 60 mmHg. How would you interpret this?
Correct Answer: C
Rationale: George's high PaCO2 and near normal HCO3 suggest respiratory acidosis, with partial compensation by retaining HCO3.
Question 2 of 5
A nurse is talking with a young adult client who has a family history of osteoporosis. Which health promotion activity should the nurse recommend as a possible preventive measure?
Correct Answer: A
Rationale: Weight-bearing exercises, such as walking, jogging, and dancing, are beneficial for building and maintaining bone density. These activities force the body to work against gravity, stimulating bone formation and slowing bone loss.
Question 3 of 5
A nurse is teaching a client who has a new prescription for allopurinol for the treatment of gout. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Staying well hydrated can help prevent gout attacks and kidney stones, which can be a side effect of allopurinol.
Question 4 of 5
A nurse in the emergency room is assessing a patient who was brought in following a seizure. The nurse suspects the patient may have bacterial meningitis when assessment findings include nuchal rigidity and a petechial rash rash. After implementing droplet precautions, which of the following actions should the nurse initiate next?
Correct Answer: B
Rationale: Decreasing environmental stimuli can help reduce the risk of seizures and is a supportive measure for a patient with suspected bacterial meningitis.
Question 5 of 5
A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for which of the following findings as an indication of gastrointestinal perforation?
Correct Answer: C
Rationale: Sudden abdominal pain, especially in the upper abdomen, can be a sign of gastrointestinal perforation, often severe and accompanied by signs of peritonitis.