ATI RN
ATI Med Surg Nursing 200 Exam Questions
Extract:
Question 1 of 5
A client with alcoholism is admitted to a medical-surgical unit with a serum magnesium level of 0.9 mEq/L. Which clinical manifestations would the nurse expect to find in this client?
Correct Answer: A
Rationale: Hypomagnesemia (0.9 mEq/L) causes neuromuscular hyperexcitability, leading to tremors and twitching, common in alcoholism.
Question 2 of 5
The nurse should teach the client who is taking digoxin 0.125 mg PO daily to call the healthcare provider if which side effect is experienced?
Correct Answer: C
Rationale: Visual disturbances like blurred vision or halos are signs of digoxin toxicity, requiring immediate reporting to the healthcare provider.
Question 3 of 5
The nurse administers losartan 50 mg PO to a client. One hour after administration, the client calls the nurse and complains of tingling of the lips. The nurse notes that the client's lips are edematous and recognizes that the client is experiencing anaphylaxis and notifies the healthcare provider. The client requires supplemental oxygen and a fluid bolus. Which statement is true regarding this situation?
Correct Answer: A
Rationale: Tingling and edema of the lips indicate anaphylaxis, a severe allergic reaction to losartan, requiring immediate intervention.
Question 4 of 5
In preparation for a patient having a Schilling test, the nurse should explain that the test:
Correct Answer: C
Rationale: The Schilling test measures vitamin B12 absorption via 24-hour urine collection, making this the correct explanation of the procedure.
Question 5 of 5
A client is experiencing a thyroid storm precipitated by a right lower lobe pneumonia. The vital signs are: HR-140/min; RR-28, B/P-196/54; T-101.4°F, Pulse Oximetry-96%. What action should the nurse take?
Correct Answer: D
Rationale: Thyroid storm causes increased metabolic rate and dehydration risk. Maintaining IV fluids and monitoring hydration status are critical to prevent electrolyte imbalances and support circulation. Other options are not indicated based on the client's current condition.