ATI RN
ATI Med Surg Nurs 300 Day Exam 4 Questions
Extract:
Question 1 of 5
To achieve the outcome of fall prevention at home in the client diagnosed with Parkinson's Disease (PD), which intervention would the nurse include in the plan of care?
Correct Answer: C
Rationale: Adequate lighting reduces fall risk in Parkinson's disease by improving visibility of obstacles, addressing balance and coordination issues.
Question 2 of 5
The nurse caring for a critically ill client would suspect the development of acute respiratory distress syndrome (ARDS) in which of the following situations? The client with:
Correct Answer: D
Rationale: Hypoxemia refractory to oxygen therapy is a hallmark of ARDS, indicating severe lung injury and impaired gas exchange.
Question 3 of 5
The nurse is to begin a nitroglycerin infusion for a client diagnosed with an anterior wall myocardial infarction. Which assessment finding should the nurse report to the provider immediately?
Correct Answer: D
Rationale: A blood pressure of 90/50 mmHg is significantly low and could indicate hypotension, a known side effect of nitroglycerin infusion. This can compromise perfusion to vital organs and may require adjustment or discontinuation of the infusion, making it the most urgent finding to report.
Question 4 of 5
The nurse is caring for a client who had a central venous catheter placed in the right subclavian vein. Approximately 30 minutes after placement the client has become increasingly restless, has jugular vein distention, and a heart rate of 120 beats per minute. The nurse would assess for which possible complication?
Correct Answer: B
Rationale: Restlessness, jugular vein distention, and tachycardia post-subclavian catheter placement suggest pneumothorax, a complication from lung puncture during insertion.
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.