ATI RN
ATI Med Surg Exam 10 Questions
Extract:
Question 1 of 5
Mrs. Jamerson, who had undergone surgery in the post-anesthesia care unit (PACU), is difficult to arouse two hours following surgery. Nurse Williams in the PACU has been administering Morphine Sulfate intravenously to the client for complaints of post-surgical pain. The client's respiratory rate is 7 per minute and demonstrates shallow breathing. The patient does not respond to any stimuli. The nurse assesses the ABCs (remember Airway, Breathing, Circulation!) and obtains ABGS STAT! Arterial blood gas measurement shows pH 7.10, PaCO2 70 mm Hg, and HCO3 24 mEq/L. What does this mean?
Correct Answer: C
Rationale: The low pH (acidosis) along with the high PaCO2 indicate respiratory acidosis, and there is no evidence of compensation by the kidneys (normal HCO3).
Question 2 of 5
A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?
Correct Answer: D
Rationale: This statement indicates possible hematuria (blood in the urine) and pain, which could be indicative of a urinary tract issue related to the kidney stones and requires reporting to the provider for further assessment and management.
Question 3 of 5
A nurse is caring for a client who has nephrotic syndrome and is receiving high-dose corticosteroid therapy. For which of the following electrolyte imbalances should the nurse monitor?
Correct Answer: B
Rationale: Corticosteroid therapy can lead to increased urinary potassium loss and subsequent hypokalemia.
Question 4 of 5
A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi?
Correct Answer: D
Rationale: Dehydration can lead to concentrated urine, which increases the risk of crystal formation and subsequently the formation of renal calculi.
Question 5 of 5
A nurse is caring for a client who has heart failure and is receiving IV furosemide. The nurse should monitor the client for which of the following electrolyte imbalances?
Correct Answer: D
Rationale: Furosemide can cause an increase in uric acid levels by reducing its excretion through the kidneys.