Questions 168

ATI RN

ATI RN Test Bank

ATI Med Surg Nursing 300 Day Exam Questions

Extract:


Question 1 of 5

The nurse is caring for a client diagnosed with bladder cancer who is prescribed intravesical immunotherapy. What information should the nurse include in the teaching plan?

Correct Answer: C

Rationale: Urinating in a sitting position ensures complete bladder emptying and minimizes contact with residual medication post-immunotherapy.

Question 2 of 5

The nurse assesses the client's rhythm on the monitor. The patient is unresponsive with no pulse. The nurse identifies the rhythm as. The nurse's priority action is

Correct Answer: A,B

Rationale: Ventricular fibrillation is a chaotic rhythm requiring immediate defibrillation to restore cardiac output.

Question 3 of 5

The client's arterial blood gases reveal the following results: pH 7.51, PaO2 80 mmHg, PaCO2 28 mmHg, HCO3 24 mEq/L, O2 saturation 92%. The nurse interprets this blood gas result as:Table 9.9 Normal Arterial Blood Gas Values pH (7.35-7.45) PaO2 (80-95 mm Hg) PaCO2 (35-45 mm Hg) HCO3 (22-26 mEq/L) O2 saturation (>95%) Base excess -2 to +2

Correct Answer: A

Rationale: Elevated pH (7.51) and low PaCO2 (28 mmHg) indicate respiratory alkalosis, likely due to hyperventilation.

Question 4 of 5

The nurse is reviewing the laboratory values for the client diagnosed with heart failure and notes the sodium level is 128 mEq/L (normal 135-145mEq/L). How should the nurse interpret this finding?

Correct Answer: B

Rationale: Hyponatremia in heart failure results from fluid retention, diluting sodium levels.

Question 5 of 5

When using an ECG rhythm strip to quickly estimate the ventricular rate for a client, the nurse should:

Correct Answer: C

Rationale: Counting QRS complexes in a 6-second strip and multiplying by 10 is the fastest method to estimate heart rate.

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