ATI RN
ATI Med Surg Exam 8 Questions
Extract:
Question 1 of 5
The nurse is monitoring a client who was diagnosed with Type 1 Diabetes Mellitus and is being treated with NPH and regular insulin. Which manifestations alert the nurse to the presence of a possible hypoglycemic reaction? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C
Rationale: Nervousness, tremors, and irritability are classic symptoms of hypoglycemia due to low blood glucose affecting the nervous system.
Question 2 of 5
A patient is post-op from knee surgery. The patient has been receiving Morphine 4 mg IV every 2 hours. The nurse notices the patient is exhibiting a respiratory rate of 8 and is extremely drowsy. Which of the following conditions is the patient at risk for?
Correct Answer: A
Rationale: Morphine can cause respiratory depression, leading to CO2 retention and respiratory acidosis.
Question 3 of 5
A nurse is performing a physical examination on an adolescent male suspected of having an endocrine disorder. Which of the following assessment findings might be indicative of a problem with the thyroid gland?
Correct Answer: C
Rationale: Sudden weight loss is characteristic of hyperthyroidism due to increased metabolism.
Question 4 of 5
The nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the client for manifestations of which disorder that the client is at risk for?
Correct Answer: D
Rationale: Nasogastric suction can cause loss of gastric acid, leading to metabolic alkalosis.
Question 5 of 5
A client in the emergency department reports that he has been vomiting excessively for the last 2 days. His arterial blood gas (ABG) analysis shows a pH of 7.50, the partial pressure of arterial carbon dioxide (PaCO2) of 43 mm Hg, partial pressure of arterial oxygen (PaO2) of 75 mm Hg, and bicarbonate (HCO3) of 42 mEq/L. Based on these findings, the nurse documents that the client is experiencing which type of acid-base imbalance?
Correct Answer: A
Rationale: Elevated pH and HCO3 indicate metabolic alkalosis, likely due to loss of gastric acid from vomiting.