ATI RN
ATI Med Surg Final Exam Nsg 232 Questions
Extract:
Question 1 of 5
A client presents to the emergency department seeking treatment for radiation burns. The nurse should develop the client's plan of care based on which of the following?
Correct Answer: B
Rationale: The type, dose, and length of radiation exposure are critical for assessing the severity and guiding treatment of radiation burns.
Question 2 of 5
A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification?
Correct Answer: B
Rationale: Bumetanide every 12 hours may be insufficient for acute heart failure, where more frequent dosing is often needed initially.
Question 3 of 5
A nurse is caring for a client who has developed Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) from cancer. Which of the following nursing interventions should be included in the client's plan of care? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Low sodium diet, electrolyte monitoring, daily weights, and thirst management address SIADH's water retention and hyponatremia. Increasing IV fluids would worsen the condition.
Question 4 of 5
A client diagnosed with autoimmune deficiency syndrome (AIDS) expresses to a nurse that they will never permit disclosure of their diagnosis to anyone. The nurse should provide the client with which of the following education? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Health care providers and intimate partners need to know the diagnosis for safe care and protection, and HIV/AIDS is reportable for public health surveillance.
Extract:
Nurses' Notes
Client admitted to medical-surgical floor from the emergency department (ED). Client has a history of HIV, first diagnosed 15 years ago, that has recently progressed to AIDS. Client presents with headache, diarrhea, night sweats, and weight loss for approximately 1 week.
Vital signs
Day 1:
Temperature: 37.3° C (99.1° F) Heart rate: 98/min
Respiratory rate: 16/min BP: 104/74 mm Hg
Oxygen saturation: 96% on room air Day 2:
Temperature 38.4 C (101.1 F) Heart rate 100/min Respiratory rate 18/min
BP 98/54 mm Hg
Oxygen saturation 95% on room air
A nurse is caring for a client who has AIDS.
Diagnostic Results
Day 1:
WBC count 3.500/mm3 (5,000-10,000 mm3)
Hemoglobin 16 g/dL (12 to 18 g/dL)
Hematocrit 48% (37% to 52%)
Potassium 3.7 mEq/L (3.5 to 5 mEq/L)
Sodium 141 mEq/L (136 to 145 mEq/L)
CD4 t-cell count 200 mm3 (800 to 1,000 mm3)
Day 2
WBC count 3,100/mm3 (5,000 to 10,000 mm3)
Hemoglobin 17 g/dL (12 to 18 g/dL)
Hematocrit 51% (37% to 52%)
Potassium 3.9 mEq/L (3.5 to 5 mEq/L)
Question 5 of 5
A nurse is caring for a client who has AIDS. The client is at highest risk for developing due to their
Correct Answer: B, D
Rationale: A CD4 T-cell count below 200/mm3 increases the risk of opportunistic infections like Pneumocystis pneumonia.