Questions 81

ATI RN

ATI RN Test Bank

ATI n120 Med Surg Exam Questions

Extract:


Question 1 of 5

The nurse is reading the arterial blood gas results of a patient admitted for sepsis. Which of the following would the nurse expect for a patient in metabolic acidosis?

Correct Answer: A

Rationale: Metabolic acidosis is indicated by low pH (7.25) and low HCO3- (16), with normal CO2, unlike other options in metabolic or respiratory alkalosis or acidosis.

Question 2 of 5

A nurse is providing teaching to a patient with chronic venous insufficiency. Which of the following should be included in the teaching plan? (Select all that apply.)

Correct Answer: C,D,E

Rationale: Avoiding prolonged sitting/standing, elevating legs, and using compression stockings manage CVI; walking is beneficial, and dangling legs worsens symptoms.

Question 3 of 5

A client is receiving a blood transfusion, The nurse observes that the client is experiencing flank and lower back pain. Which of the following orders does the nurse anticipate receiving?

Correct Answer: C

Rationale: Flank and lower back pain during a transfusion suggest a hemolytic reaction; high-volume IV fluids help prevent kidney damage by flushing hemoglobin.

Question 4 of 5

A nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. The client is prescribed phenytoin 250 mg. The amount available is phenytoin oral solution 25 mg/5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: A

Rationale: Calculation: (250 mg ÷ 25 mg/5 mL) = 50 mL, the correct dose to administer.

Question 5 of 5

The nurse is assessing a patient in the immediate post-operative phase. Which of the following assessment findings would be most indicative of post-operative hemorrhage?

Correct Answer: D

Rationale: Tachycardia and hypotension are classic signs of hemorrhage due to compensatory mechanisms, unlike respiratory changes, fever, or confusion.

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