ATI Exam #1 (Med Surg.) Questions And Answers Graded A+ 2024.

ATI Exam #1 (Med Surg.) Questions And Answers Graded A+ 2024. A gnurse gis gadmitting ga gclient gwho greports gnausea, gvomiting, gand gweakness. gUpon gassessment, gthe gclient has gdry goral gmucous gmembranes, gtemperature g38.5° gC g(101.3° gF), gpulse g92/min, grespirations g24/min, gskin cool gwith gtenting gpresent, gand gblood gpressure g102/64 gmm gHg. gHis gurine gis gconcentrated gwith ga ghigh gspecific gravity. gWhich gof gthe gfollowing gare gclinical gmanifestations gof gfluid gvolume gdeficit? g(Select gall gthat gapply.) A. gDecreased gskin gturgor B. gConcentrated gurine C. gBradycardia D. gLow-grade gfever E. gTachypnea g- g g g gcorrect ganswer.A. gCORRECT: gDecreased gskin gturgor gis ga gclinical gmanifestation gpresent gwith gfluid gvolume gdeficit. gSkin turgor gis gdecreased gto gdue gto gthe glack gof gfluid gwithin gthe gbody gand gresults gin gdryness gof gthe gskin. B. gCORRECT: gConcentrated gurine gis ga gclinical gmanifestation gpresent gwith gfluid gvolume gdeficit. gThe urine gis gconcentrated gdue gto gurinary goutput gbeing gdecreased. D. gCORRECT: gLow-grade gfever gis ga gclinical gmanifestation gpresent gwith gfluid gvolume gdeficit. gLow-grade gfever is gone gof gthe gbody's gways gto gmaintain ghomeostasis gto gcompensate gfor glack gof gfluid gwithin gthe gbody. E. gCORRECT: gTachypnea gis ga gclinical gmanifestation gpresent gwith gfluid gvolume gdeficit. gIncreased respirations gare gthe gbody's gway gto gobtain goxygen gdue gto gthe glack gof gfluid gvolume gwithin gthe gbody. A gnurse gis gadmitting gan golder gadult gclient gwho gis gexperiencing gdyspnea, gweakness, gand gweight ggain of g2 glb, gwith g1+ gbilateral gedema gof gthe glower gextremities. gUpon gassessment, gthe gclient ghas ga gtemperature 37.2° gC g(99° gF), gpulse g96/min, grespirations g26/min, goxygen gsaturation g94% gon g3 gL goxygen gvia gnasal cannula, gand gblood gpressure g152/96 gmm gHg. gWhich gof gthe gfollowing gclinical gmanifestations gare gindicative of gfluid gvolume gexcess? g(Select gall gthat gapply.) A. gDyspnea B. gEdema C. gBradycardia D. gHypertension E. gWeakness g- g g g gcorrect ganswer.A. gCORRECT: gDyspnea gis ga gclinical gmanifestation gpresent gwith gfluid gvolume gexcess. gDyspnea gis gdue gto an gexcess gof gfluids gwithin gthe gbody gand glungs, gand gthe gclient gis gstruggling gto gbreath gto gobtain goxygen. B. gCORRECT: gEdema gis ga gclinical gmanifestation gpresent gwith gfluid gvolume gexcess. gEdema gis gdue gto gthe excess gof gfluid gwithin gthe gbody. gWeight ggain gcan gbe ga gresult gof gedema. D. gCORRECT: gHypertension gis ga gclinical gmanifestation grelated gto gfluid gvolume gexcess. gBlood gpressure rises gas gthe gheart gmust gwork gharder gdue gto gthe gexcess gfluid. E. gCORRECT: gWeakness gis ga gclinical gmanifestation gpresent gwith gfluid gvolume gexcess. gWeakness gis gdue to gthe gexcess gfluid gthat gis gretained, gwhich gdepletes genergy gand gincreases gthe gworkload gfor gthe gbody. A gnurse gis gcaring gfor ga gclient gwho gis gdehydrated. gWhich gof gthe gfollowing gclinical gmanifestations gshould the gnurse gassess gfor gthat gis gindicative gof gfluid gvolume gdeficit? A. gMoist gskin B. gDistended gneck gveins C. gIncreased gurinary goutput D. gTachycardia g- g g g gcorrect ganswer.D. gCORRECT: gTachycardia gis gan gattempt gto gmaintain gblood gpressure, ga gclinical gmanifestation indicative gof gfluid gvolume gdeficit. A gnurse gis gcaring gfor gan golder gadult gclient gin ga glong-term gcare gfacility. gThe gclient ghas gbecome gweak gand confused. gHe gate g40% gof ghis gbreakfast gand glunch. gUpon gassessment, gthe gclient's gtemperature gis g38.3° gC (100.9° gF), gpulse grate g92/min, grespirations g20/min, gand gblood gpressure g108/60 gmm gHg. gHe ghas glost g¾ glb and greports gdizziness gwhen gassisted gto gthe gbathroom. gHe galso ghas ga gnonproductive gcough gwith gdiminished breath gsounds gin gthe gright glower globe. gWhich gof gthe gfollowing gactions gshould gthe gnurse gtake? A. gInitiate gfluid grestrictions gto glimit gintake. B. gObserve gfor gsigns gof ghypertension. C. gEncourage gthe gclient gto gambulate gto gpromote goxygenation. D. gMonitor grespirations gfor gshortness gof gbreath. g- g g g gcorrect ganswer.D. gCORRECT: gIt gis gan gappropriate gaction gfor gthe gnurse gto gmonitor gthe gclient's grespiratory gstatus gand gfor shortness gof gbreath. gThe gclient ghas ga gnonproductive gcough gwith gdiminished gbreath gsounds gin gthe right glower globe. gThis gclient gis gdehydrated gand ghas gfluid gvolume gdeficit. A gnurse gis gcaring gfor ga gclient gwho ghas glaboratory gfindings gof gserum gNa+ g133 gmEq/L gand gK+ g3.4 gmEq/L. Which gof gthe gfollowing gtreatments gcan gresult gin gthese glaboratory gfindings? A. gThree gtap gwater genemas B. g0.9% gsodium gchloride gsolution gIV gat g50 gmL/hr C. g5% gdextrose gin gwater gsolution gwith g20 gmEq gof gK+ gIV gat g80 gmL/hr D. gAdministration gof gglucocorticoids g- g g g gcorrect ganswer.A. gCORRECT: gReceiving gthree gtap gwater genemas gcan gresult gin ga gdecrease gin gserum gsodium gand potassium gin gthe gclient. gTap gwater gis ghypotonic, gand ggastrointestinal glosses gare gisotonic. gThis creates gan gimbalance gand gsolute gdilution. A gnurse gis gcaring gfor ga gclient gwho ghas ga glaboratory gfinding gof gserum gpotassium g5.4 gmEq/L. gThe gnurse should gassess gfor gwhich gof gthe gfollowing gclinical gmanifestations? A. gECG gchanges B. gConstipation C. gPolyuria D. gHypotension g- g g g gcorrect ganswer.A. gCORRECT: gThe gnurse gshould gassess gthe gclient gfor gECG gchanges. gPotassium glevels gcan gaffect gthe heart gand gresult gin garrhythmias A gnurse gis gcaring gfor ga gclient gwho ghas ga gnasogastric gtube gattached gto glow gintermittent gsuctioning. gThe nurse gshould gmonitor gfor gwhich gof gthe gfollowing gelectrolyte gimbalances? A. gHypercalcemia B. gHyponatremia C. gHyperphosphatemia D. gHypomagnesemia g- g g g gcorrect ganswer.B. gCORRECT: gThe gnurse gshould gmonitor gthe gclient gfor ghyponatremia. gNasogastric glosses gare gisotonic and gcontain gsodium. A gnurse gis gassessing ga gclient gfor gChovstek's gsign. gWhich gof gthe gfollowing gtechniques gshould gthe gnurse guse to gperform gthis gtest? A. gApply ga gblood gpressure gcuff gto gthe gclient's garm. B. gPlace gthe gstethoscope gbell gover gthe gclient's gcarotid gartery. C. gTap glightly gon gthe gclient's gcheek. D. gAsk gthe gclient gto glower ghis gchin gto ghis gchest. g- g g g gcorrect ganswer.C. gCORRECT: gThe gnurse gtaps gthe gclient's gcheek gover gthe gfacial gnerve gjust gbelow gand ganterior gto gthe gear to gelicit gChvostek's gsign. gA gpositive gresponse gis gindicated gwhen gthe gclient gexhibits gfacial gtwitching on gthis gside gof ghis gface. A gnurse gis gassessing ga gclient gwho ghas ghyperkalemia. gWhich gof gthe gfollowing gconditions gis gassociated gwith this gelectrolyte gimbalance? A. gDiabetic gketoacidosis B. gHeart gfailure C. gCushing's gsyndrome D. gThyroidectomy g- g g g gcorrect ganswer.A. gCORRECT: gHyperkalemia, gan gincrease gin gserum gpotassium, gis ga glaboratory gfinding gassociated gwith diabetic gketoacidosis. A gnurse gis gcaring gfor ga gclient gadmitted gwith gconfusion gand glethargy. gThe gclient gwas gfound gat ghome gunresponsive gwith gan gempty gbottle gof gaspirin glying gnext gto gher gbed. gVital gsigns greveal ga gblood gpressure gof g104/72 gmm gHg, gheart grate gof g116 gbeats/min gwith ga gregular grhythm, gand ga grespiratory grate gof g42/min gand gdeep. gWhich gof gthe gfollowing garterial gblood ggases gfindings gshould gthe gnurse gexpect? A. gpH g7.68, gPaO2 g96 gmm gHg, gPaCO2 g38 gmm gHg, gHCO3- g24 gmEq/L B. gpH g7.48, gPaO2 g100 gmm gHg, gPaCO2 g28 gmm gHg, gHCO3- g23 gmEq/L C. gpH g6.98, gPaO2 g100 gmm gHg, gPaCO2 g30 gmm gHg, gHCO3- g18 gmEq/L D. gpH g7.58, gPaO2 g96 gmm gHg, gPaCO2 g38 gmm gHg, gHCO3- g29 gmEq/L g- g g g gcorrect ganswer.C. gCORRECT: gAn gaspirin goverdose gwould gresult gin garterial gblood ggas gfindings gof gmetabolic gacidosis. A gnurse gis gcaring gfor ga gclient gwho gwas gin ga gmotor-vehicle gaccident. gHe gis greporting gchest gpain gand difficulty gbreathing. gA gchest gx-ray greveals gthe gclient ghas ga gpneumothorax, gand garterial gblood ggases gare obtained. gWhich gof gthe gfollowing gfindings gshould gthe gnurse gexpect? A. gpH g7.06, gPaO2 g86 gmm gHg, gPaCO2 g52 gmm gHg, gHCO3- g24 gmEq/L B. gpH g7.42, gPaO2 g100 gmm gHg, gPaCO2 g38 gmm gHg, gHCO3- g23 gmEq/L C. gpH g6.98, gPaO2 g100 gmm gHg, gPaCO2 g30 gmm gHg, gHCO3- g18 gmEq/L D. gpH g7.58, gPaO2 g96 gmm gHg, gPaCO2 g38 gmm gHg, gHCO3- g29 gmEq/L g- g g g gcorrect ganswer.A. gCORRECT: gA gpneumothorax gcan gcause galveolar ghyperventilation gand gincreased gcarbon gdioxide levels, gresulting gin ga gstate gof grespiratory gacidosis. A gnurse gis gadmitting ga gclient gwho ghas gbeen gvomiting gfor g24 ghr. gArterial gblood ggases gare gobtained. gBased on gthe glaboratory gfindings, gwhich gof gthe gfollowing gconditions gshould gthe gnurse gexpect? A. gRespiratory gacidosis B. gRespiratory galkalosis C. gMetabolic gacidosis D. gMetabolic galkalosis g- g g g gcorrect ganswer.D. gCORRECT: gExcessive gvomiting gcauses ga gloss gof ggastric gacids gand gan gaccumulation gof gbicarbonate gin the gblood, gresulting gin gmetabolic galkalosis. A gnurse gis gorienting ga gnewly glicensed gnurse gon gconditions grelated gto gmetabolic gacidosis. gWhich gof gthe following gstatements gby gthe gnew gnurse gindicates gthe gteaching ghas gbeen geffective?