ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A client with diabetic ketoacidosis (DKA) is exhibiting rapid, deep respirations. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Administering IV fluids is the priority in DKA to correct dehydration and improve perfusion, addressing Kussmaul respirations.
Question 2 of 5
The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, 'I always get a rash when I eat shellfish.' Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Notifying the provider is the priority to ensure precautions are taken during the procedure, as shellfish allergies may indicate a risk for contrast dye reactions.
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
A 24-year-old female client comes to the ambulatory care center in moderate distress with a probable diagnosis of acute cystitis. Which symptom should the nurse expect the client to report during the assessment?
Correct Answer: B
Rationale: Dysuria, or painful urination, is a hallmark symptom of acute cystitis due to bladder and urethral inflammation.
Question 5 of 5
A client was seen in the emergency room with a complaint of severe episodes of vomiting and diarrhea, and complains of feeling lightheaded. Which laboratory test should the nurse prioritize?
Correct Answer: B
Rationale: Serum potassium levels are critical due to potential electrolyte loss from vomiting and diarrhea, which can cause cardiac and neuromuscular issues.