ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who had a central venous catheter placed in the right subclavian vein. Approximately 30 minutes after placement the client has become increasingly restless, has jugular vein distention, and a heart rate of 120 beats per minute. The nurse would assess for which possible complication?
Correct Answer: B
Rationale: Restlessness, jugular vein distention, and tachycardia post-subclavian catheter placement suggest pneumothorax, a complication from lung puncture during insertion.
Question 2 of 5
The nurse is teaching the client and family about Huntington's Disease (HD). What information should the nurse include?
Correct Answer: C
Rationale: Genetic testing is critical for HD, an autosomal dominant disorder, to confirm diagnosis and aid family planning.
Question 3 of 5
The nurse is analyzing a client's arterial blood gas (ABG) values with the following results: pH 7.44, PaCO2 30 mmHg, Pa02 90 mmHg, and HCO3 18mEg/L. Which acid base Imbalance should the nurse associate with these results?
Correct Answer: B
Rationale: Normal pH (7.44), low HCO3 (18 mEq/L), and low PaCO2 (30 mmHg) indicate partially compensated metabolic acidosis with respiratory compensation.
Question 4 of 5
A client with a medical diagnosis of acute respiratory distress syndrome (ARDS) is being placed in the prone position. The nurse explains to family members that, 'This will help improve ventilation by:
Correct Answer: A
Rationale: Prone positioning improves ventilation in ARDS by allowing better airflow to less-damaged posterior lung regions, enhancing oxygenation.
Question 5 of 5
The nurse is caring for a client who had a central venous catheter placed in the right subclavian vein. Approximately 30 minutes after placement the client has become increasingly restless, has jugular vein distention, and a heart rate of 120 beats per minute. The nurse would assess for which possible complication?
Correct Answer: B
Rationale: Restlessness, jugular vein distention, and tachycardia post-subclavian catheter placement suggest pneumothorax, a complication from lung puncture during insertion.