ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Question 1 of 5
A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 250
Rationale:
Total volume of IV fluid: 2000 mL.
Total time for infusion: 8 hours. Infusion rate: 2000/8 = 250 mL/hr.
Question 2 of 5
A nurse is teaching a client who has gout about dietary recommendations. The nurse should teach the client that which of the following beverages can trigger an attack?
Correct Answer: B
Rationale: Alcohol, especially beer and spirits, can trigger gout attacks by increasing the level of uric acid in the blood. Alcohol consumption should be limited or avoided to reduce the risk of gout flare-ups.
Question 3 of 5
A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was
Correct Answer: B
Rationale: Hoarseness is often the earliest and most common symptom of laryngeal cancer. It occurs due to the involvement of the vocal cords.
Question 4 of 5
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?
Correct Answer: A
Rationale: pH 7.25, HCO₃⁻ 19 mEq/L, PaCO₂ 30 mm Hg indicates metabolic acidosis with partial respiratory compensation. This is a common finding in chronic kidney disease due to the kidneys' reduced ability to excrete hydrogen ions and reabsorb bicarbonate.
Question 5 of 5
A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?
Correct Answer: B
Rationale: Pale pink urine is expected as some bleeding is normal following a transurethral prostatectomy.