ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
The nurse is caring for a client diagnosed with acute respiratory distress syndrome (ARDS) who requires mechanical ventilation. A client problem of decreased cardiac output from the positive pressure ventilator has been identified. What should the nurse include in the plan of care? Assess:
Correct Answer: B
Rationale: Hourly intake and output monitoring helps manage fluid balance, critical for maintaining cardiac output in ARDS patients on ventilators.
Question 2 of 5
The nurse is caring for a client with respiratory failure. The client is lethargic and slow to follow commands. Current vital signs are: BP 88/52, pulse 132, respirations 8, and SPO2 84% on 35% Venturi mask. The nurse would anticipate which medical prescription?
Correct Answer: A
Rationale: Severe respiratory distress and low SpO2 despite oxygen therapy indicate the need for intubation and mechanical ventilation.
Question 3 of 5
The nurse is caring for a client diagnosed with acute respiratory distress syndrome (ARDS) who requires mechanical ventilation. A client problem of decreased cardiac output from the positive pressure ventilator has been identified. What should the nurse include in the plan of care? Assess:
Correct Answer: B
Rationale: Hourly intake and output monitoring helps manage fluid balance, critical for maintaining cardiac output in ARDS patients on ventilators.
Question 4 of 5
A nurse is providing discharge teaching to a client who will be taking levodopa/carbidopa for Parkinson's disease. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: High-protein meals can interfere with levodopa absorption, so the medication should be taken on an empty stomach or with low-protein meals.
Question 5 of 5
The nurse is caring for a client with the following arterial blood gas (ABG) results: pH 7.32, PaCO2 33 mmHg, Pa02 88 mmHg, HCO3 16 mEg/L. The nurse would Interpret these results as:
Correct Answer: D
Rationale: The low pH (7.32) and low HCO3 (16 mEq/L) indicate metabolic acidosis. The low PaCO2 (33 mmHg) suggests respiratory compensation by blowing off CO2, but since the pH is still acidic, it is partially compensated.