ATI RN
ATI Nurs 201 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
What condition do these results indicate? A nurse is reviewing arterial blood gas lab values on her newly admitted elderly client. The ABG results are as follows: pH 7.21, PaCO2 50, HCO3 26.
Correct Answer: A
Rationale: The pH of 7.21 indicates acidosis, and the elevated PaCO2 of 50 mmHg suggests carbon dioxide retention, characteristic of respiratory acidosis due to inadequate CO2 expulsion.
Question 2 of 5
The nurse is assessing a client who is diagnosed with heart failure and reports slight limitation of physical activity, is comfortable at rest but ordinary physical activity causes symptoms. What heart failure classification does this patient fall under?
Correct Answer: A
Rationale: Class II heart failure, per NYHA classification, involves slight limitation in physical activity with symptoms during ordinary activity, but comfort at rest.
Question 3 of 5
The nurse is caring for a client with uterine cancer who is being treated with brachytherapy. The UAP reports that the client ambulated to the restroom and is now reporting, 'something feels like it's coming out.' What is the nurse's priority action?
Correct Answer: A
Rationale: The priority action when a patient is receiving brachytherapy for uterine cancer is to assess for potential dislodgement of the radioactive implant. If the radiation source has been displaced, it must be handled carefully to prevent radiation exposure to the nurse, other patients, and staff. The nurse should use forceps to carefully retrieve the dislodged pellets and place them in a lead container to prevent contamination.
Question 4 of 5
A patient taking Digoxin is experiencing severe bradycardia, nausea and vomiting. A lab draw shows that their Digoxin level is 4 ng/mi (0.8-2.0 ng/ml). What management does the nurse anticipate the physician to order? Select all that apply.
Correct Answer: A,C,D
Rationale:
A) IV fluids aid in excreting excess digoxin.
C) Holding digoxin prevents worsening toxicity.
D) Digibind neutralizes digoxin in severe toxicity.
Question 5 of 5
The nurse supervises the care of a patient with a temporary radioactive cervical implant. Which action by unlicensed assistive personnel (UAP), if observed by the nurse, would require immediate intervention?
Correct Answer: A
Rationale: This action requires immediate intervention because of the potential radiation exposure to the UAP. A temporary radioactive cervical implant involves placing a radioactive source in or near the patient's cervix. Prolonged close contact increases the risk of radiation exposure.