ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
The nurse is providing care to a client admitted with a diagnosis of bacterial pneumonia. On assessment, the client has dry mucous membranes and coarse rhonchi. What nursing interventions would the nurse include in the plan of care?
Correct Answer: B
Rationale: Increasing fluid intake thins mucus, antibiotics treat the infection, and coughing clears secretions, addressing pneumonia symptoms.
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 with respiratory failure. The client is lethargic and slow to follow commands. Current vital signs are: BP 88/52, pulse 132, respirations 8, and SPO2 84% on 35% Venturi mask. The nurse would anticipate which medical prescription?
Correct Answer: A
Rationale: Severe respiratory distress and low SpO2 despite oxygen therapy indicate the need for intubation and mechanical ventilation.
Question 4 of 5
The nursing is caring for a client in the Intensive Care Unit on a ventilator. Which intervention(s) should the nurse implement? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D,E
Rationale: Frequent respiratory assessments, bedside resuscitation bag, checking ventilator settings, and collaboration with the respiratory therapist are critical for ventilator management. Pulse oximetry should be monitored continuously, not just every shift.
Question 5 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.