ATI Nur 221 Med Surg Final Exam

Extract:

Question 1 of 5

A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing. Which of the following actions is the nurse's priority?

A. Increase the oxygen flow to 3 L/minB. Have the client cough and expectorate secretionsC. Call emergency services for the clientD. Assess the client's respiratory status

Correct Answer: D

Rationale: Assessing respiratory status (rate, saturation, lung sounds) identifies the cause of difficulty, guiding interventions. Increasing oxygen , coughing , or calling emergency services are premature without assessment.

Question 2 of 5

Your labs are potassium 6.4, sodium 138, and serum calcium level of 9. Which order from the healthcare provider would the nurse anticipate?

A. Fluid restrictionB. NeomycinC. KayexalateD. Sodium chloride infusion and furosemide

Correct Answer: C

Rationale: Kayexalate binds potassium in the gut, facilitating its excretion, effectively lowering serum levels (6.4 mEq/L) in hyperkalemia. Fluid restriction may worsen potassium concentration, neomycin is irrelevant, and sodium chloride with furosemide is less direct than Kayexalate for rapid correction.

Question 3 of 5

The nurse is assessing a client's thyroid. The nurse determines the client's thyroid is non-palpable and non-tender. Which is the best explanation of these findings?

A. The client should be placed on levothyroxineB. The client will need a removal of the thyroid glandC. This is a normal findingD. The nurse did not complete the assessment correctly

Correct Answer: C

Rationale: A non-palpable, non-tender thyroid is normal, indicating no enlargement or inflammation. Levothyroxine or thyroidectomy assumes pathology, and error is unfounded.

Question 4 of 5

The nurse is receiving hand-off report. Which of the following clients would the nurse assess first?

A. A client with an intestinal obstruction whose nasogastric tube has drained 150 mL in 8 hoursB. A client with ascites who has a respiratory rate of 26 and oxygen saturation level of 90%C. A client with acute pancreatitis who has decreased breath sounds with increased cracklesD. A client with stable esophageal varices and a blood pressure of 92/45

Correct Answer: C

Rationale: Decreased breath sounds and crackles in pancreatitis signal pleural effusion or ARDS, a life-threatening priority. Low NG drainage , respiratory distress in ascites , and low BP in varices are less immediately critical.

Question 5 of 5

The nurse is educating a client about Parkinson's disease. Which of the following statements would require further teaching?

A. I should eat soft foods such as applesauce and yogurt if I have trouble swallowingB. I could drink prune juice if I develop constipationC. Carbidopa-levodopa will help with my symptomsD. It results from the lack of acetylcholine

Correct Answer: D

Rationale: Parkinson's results from dopamine deficiency, not acetylcholine. Soft foods , prune juice , and carbidopa-levodopa are correct management strategies.

ATI Nur 221 Med Surg Final Exam | Nurselytic

Nurselytic

ATI RN

ATI RN