ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
Mrs. Jamerson, who is in the post anesthesia care unit (PACU) following surgery, is difficult to arouse and demonstrates shallow breathing. The patient does not respond to any stimuli. The nurse assesses the patient and obtains arterial blood gas (ABG) measurements STAT. The ABG shows a pH of 7.10, PaCO2 of 70 mm Hg, and HCO3 of 24 mEq/L. What does this mean?
Correct Answer: B
Rationale: Respiratory Acidosis Uncompensated is indicated by an acidic pH under 7.35 and an elevated PaCO2 over 45 mmHg, with HCO3 in the normal range.
Question 2 of 5
A nurse is caring for a client who recently had surgery for the insertion of a permanent pacemaker. Which of the following prescriptions should the nurse clarify?
Correct Answer: C
Rationale: An MRI of the chest should be clarified with the healthcare provider because MRI can interfere with pacemaker function. Patients with pacemakers are generally advised to avoid MRI unless the pacemaker is incompatible, due to the risk of the magnetic field affecting the device's operation.
Question 3 of 5
A nurse is talking with a client who has cholelithiasis and is about to undergo an oral cholangiogram. Which of the following client statements indicates to the nurse an understanding of the procedure?
Correct Answer: B
Rationale: This statement is correct. An oral cholangiogram involves taking an X-ray examination of the gallbladder after the patient has taken an iodine-based contrast agent orally. The procedure is used to diagnose problems related to the gallbladder, such as gallstones or issues with bile flow.
Question 4 of 5
A nurse is assessing a client who is 1 day postoperative following a lobectomy and has a chest tube drainage system in place. Which of the following findings by the nurse indicates a need for intervention?
Correct Answer: B
Rationale: Subcutaneous emphysema indicates air in the subcutaneous tissue, a serious complication requiring immediate assessment.
Question 5 of 5
A nurse is caring for a client who is being evaluated for acromegaly. Which of the following manifestations should the nurse expect to find during the assessment? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Enlarged distal extremities, coarse facial features, and hepatomegaly are classic signs of acromegaly due to excessive growth hormone effects.