ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
The nurse is caring for a client whose arterial blood gas reveals partially compensated respiratory alkalosis. Which results are consistent with this finding?
Correct Answer: C
Rationale: High pH (7.64), low PaCO2 (23 mmHg), and low HCO3 (14 mEq/L) indicate partially compensated respiratory alkalosis due to hyperventilation with renal compensation.
Question 2 of 5
The nurse is caring for a client three hours after percutaneous coronary intervention (PCI) with stent placement. The client now complains of 5/10 chest pain. The client is visibly diaphoretic and anxious. The ECG shows ST segment elevations. The vital signs are as follows: BP: 156/82, HR: 110, RR: 20, T: 98.6, and Sp02: 94% on 2L nasal canula. The nurse anticipates which intervention in this situation?
Correct Answer: D
Rationale: Chest pain with ST elevations post-PCI suggests reocclusion, requiring repeat PCI to restore coronary blood flow.
Question 3 of 5
The nurse is caring for a client diagnosed with multiple sclerosis (MS) who is complaining of diplopia. Which intervention would be appropriate for the client with this problem?
Correct Answer: C
Rationale: Alternating an eye patch on each eye reduces diplopia in MS by preventing double vision caused by eye muscle misalignment.
Question 4 of 5
The nurse is caring for a client who is 3 hours post-operative following a right lobectomy for lung cancer. The client has shallow respirations at a rate of 14/minute with guarding of the operative site. The breath sounds are diminished throughout the left lung field. The nurse assigns the highest priority to which intervention to prevent acute respiratory failure?
Correct Answer: D
Rationale: Adequate pain relief is critical to promote deep breathing and prevent shallow respirations, reducing the risk of atelectasis and respiratory failure.
Question 5 of 5
A nurse is providing teaching to a client newly diagnosed with Parkinson's disease who is prescribed carbidopa/levodopa. What should be included in client teaching?
Correct Answer: C
Rationale: Orthostatic hypotension is a common side effect of carbidopa/levodopa. Educating the client to change positions slowly helps prevent dizziness or falls, which is critical for safety.