ATI RN
ATI Med Surg Nursing 200 Exam Questions
Extract:
Question 1 of 5
Which statement, made by the client with coronary artery disease, alerts the nurse that the client may be experiencing difficulty adapting to the illness?
Correct Answer: D
Rationale: Delaying medical attention for chest pain suggests denial or poor adaptation, increasing the risk of complications like myocardial infarction.
Question 2 of 5
A client has little use of the left side due to a stroke. To assist with ambulation for the first time, the nurse should walk:
Correct Answer: B
Rationale: Walking along the affected left side provides support for balance and foot clearance, aiding safe ambulation post-stroke.
Question 3 of 5
The nurse administers losartan 50 mg PO to a client. One hour after administration, the client calls the nurse and complains of tingling of the lips. The nurse notes that the client's lips are edematous and recognizes that the client is experiencing anaphylaxis and notifies the healthcare provider. The client requires supplemental oxygen and a fluid bolus. Which statement is true regarding this situation?
Correct Answer: A
Rationale: Tingling and edema of the lips indicate anaphylaxis, a severe allergic reaction to losartan, requiring immediate intervention.
Question 4 of 5
The nurse obtains the following arterial blood gas results on a client: pH 7.2, PaO2 88 mmHg, PaCO2 40 mmHg, HCO3 19 mEq/L. Which acid-base imbalance is the client experiencing?
Correct Answer: D
Rationale: Low pH (7.2) and low bicarbonate (19 mEq/L) indicate metabolic acidosis, likely due to acid accumulation or base loss.
Question 5 of 5
A client who is mentally impaired is incontinent of stool. What is the nurse's best intervention to help prevent skin breakdown?
Correct Answer: B
Rationale: Frequent checks for soiling allow prompt cleaning, reducing skin exposure to irritants and preventing breakdown.