ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Question 1 of 5
A nurse is teaching a client about self-administered peritoneal dialysis. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Heating dialysis fluid in a microwave can cause uneven heating and burns; a specialized warmer should be used.
Question 2 of 5
The emergency room nurse is providing discharge teaching to a client diagnosed with heat exhaustion. Which of the following statements would require further teaching?
Correct Answer: D
Rationale: While water helps with rehydration, it does not replace lost sodium. Excessive water intake without electrolytes can cause hyponatremia.
Question 3 of 5
A nurse is caring for a client who had a total thyroidectomy and a low serum calcium level of 7.4 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hypocalcemia can occur after a total thyroidectomy due to accidental removal or damage to the parathyroid glands. Neuromuscular excitability, including paresthesia (numbness and tingling), tetany, and muscle spasms, are classic signs.
Question 4 of 5
What type of electrolyte imbalance would most likely occur following the administration of three tap water enemas?
Correct Answer: A
Rationale: Tap water enemas can cause potassium loss via stool and dilutional effects, leading to hypokalemia.
Question 5 of 5
The nurse is reviewing the electrolyte results of a client and notes that the potassium level is 5.7. Which pattern on the cardiac monitor would the nurse expect to see?
Correct Answer: B
Rationale: Hyperkalemia (K+ > 5.0 mEq/L) causes tall, peaked T waves due to abnormal repolarization.