ATI RN
ATI Medical Surgical Exam 1 Questions
Extract:
Question 1 of 5
A client with acute kidney injury has a potassium level of 6.5 mEq/L. What should the nurse expect to administer?
Correct Answer: C
Rationale: Calcium gluconate stabilizes cardiac membranes in hyperkalemia.
Question 2 of 5
Which of the following is true regarding the physiology of an open pneumothorax?
Correct Answer: C
Rationale: In an open pneumothorax, air moves freely in and out of the thoracic cavity through the chest wound, often producing audible sounds like sucking or bubbling. Air is not trapped, and it does not fail to pass through the wound.
Question 3 of 5
A nurse is caring for a client with a urinary catheter. How should the nurse prevent infection?
Correct Answer: C
Rationale: Securing the catheter prevents urethral trauma and reduces infection risk.
Question 4 of 5
A nurse is caring for a client who has multiple sclerosis and is experiencing progressive multifocal leukoencephalopathy (PML). Which of the following medications should the nurse recognize is associated with the development of PML?
Correct Answer: B
Rationale: Natalizumab is a monoclonal antibody used for MS that increases PML risk, especially in JC virus antibody-positive patients. Pregabalin, furosemide, and metoprolol are not associated with PML.
Question 5 of 5
A nurse is providing discharge information to a client who has Parkinson's disease and their family members. Which of the following instructions should the nurse include in the discharge information?
Correct Answer: A,B,E
Rationale: Encouraging regular walking improves mobility and balance. A diet rich in fruits and vegetables supports overall health. Teaching walker use enhances safety and independence. Fluid restriction and limiting outside activities are not appropriate as they may lead to dehydration and reduced quality of life.