ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A client is admitted to the emergency department with a magnesium level of 1.2 mg/dL. The nurse is aware that a likely cause of the value is which of the following:
Correct Answer: A
Rationale: Alcoholism is a common cause of hypomagnesemia due to poor dietary intake, increased renal excretion, and gastrointestinal losses. Dehydration typically elevates magnesium levels, kidney failure causes hypermagnesemia, and excessive magnesium intake leads to hypermagnesemia.
Question 2 of 5
A nurse is caring for a client who has diabetic ketoacidosis and hypoxia. Which of the following interventions is most critical to perform immediately?
Correct Answer: D
Rationale: Ensuring a clear airway is the priority in hypoxia to facilitate oxygen delivery, critical in diabetic ketoacidosis.
Question 3 of 5
A client diagnosed with type II diabetes controlled with a biguanide medication and a history of liver disease is scheduled for a computed tomography (CT) scan with contrast medium of the abdomen to evaluate pancreatic function. Which intervention should the nurse implement?
Correct Answer: D
Rationale: Hydration is critical to protect kidney function and reduce contrast-induced nephropathy risk, especially with liver disease.
Question 4 of 5
The nurse is caring for a patient who has a pelvic fracture and an external fixation device. How should the nurse perform assessment of pressure areas and provide skin care to the patient's back and sacrum?
Correct Answer: A
Rationale: Using a trapeze allows safe assessment of pressure areas without risking further injury in a patient with a pelvic fracture.
Question 5 of 5
The nurse is caring for a client who has heart failure and a history of asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
Correct Answer: C
Rationale: Carvedilol, a beta-blocker, can exacerbate asthma symptoms and requires clarification in patients with asthma.