ATI RN
ATI Med Surg Nursing 300 day Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is in the later stages of left-sided heart failure. Which chief complaint would the nurse expect the client to report?
Correct Answer: A
Rationale: Left-sided heart failure causes reduced cardiac output, leading to activity intolerance and fatigue, but comfort at rest.
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
A client is to receive 500 mL of IV fluid over 8 hours. At what rate should the nurse set the IV pump?
Correct Answer: 62.5 mL/h
Rationale:
To determine the IV pump rate, divide the total volume (500 mL) by the infusion time (8 hours): 500 mL / 8 hours = 62.5 mL/h.
Question 4 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 5 of 5
What statement indicates that the client understands teaching about neutropenia as a result of bone marrow suppression?
Correct Answer: C
Rationale: Calling the oncologist for an increased temperature indicates understanding of infection risk in neutropenia.