ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
The nurse is teaching the client and family about Huntington's Disease (HD). What information should the nurse include?
Correct Answer: C
Rationale: Genetic testing is critical for HD, an autosomal dominant disorder, to confirm diagnosis and aid family planning.
Question 2 of 5
The nurse is caring for the client experiencing Guillain-Barre syndrome (GBS). It is most important for the nurse to monitor the client for which complication?
Correct Answer: C
Rationale: Respiratory failure is the most life-threatening complication in GBS due to paralysis affecting breathing muscles.
Question 3 of 5
The nurse is caring for a client whose arterial blood gas reveals fully compensated metabolic acidosis. Which results are consistent with this finding?
Correct Answer: A
Rationale: Normal pH (7.36), low HCO3 (16 mEq/L), and low PaCO2 (27 mmHg) indicate fully compensated metabolic acidosis with respiratory compensation.
Question 4 of 5
The nurse would check for leaks in the chest tube and water seal system when:
Correct Answer: A
Rationale: Continuous bubbling in the water-seal chamber suggests a potential air leak in the system, which needs to be investigated. The water-seal chamber is designed to prevent backflow of air into the pleural space, and persistent bubbling typically indicates that air is escaping from the pleural cavity or there is a problem with the tubing or chest tube placement.
Question 5 of 5
The nurse is caring for a client with the following arterial blood gas (ABG) results: pH 7.32, PaCO2 33 mmHg, Pa02 88 mmHg, HCO3 16 mEg/L. The nurse would Interpret these results as:
Correct Answer: D
Rationale: The low pH (7.32) and low HCO3 (16 mEq/L) indicate metabolic acidosis. The low PaCO2 (33 mmHg) suggests respiratory compensation by blowing off CO2, but since the pH is still acidic, it is partially compensated.