ATI RN
ATI RN Custom Nursing 221 Exam 3 Questions
Extract:
Question 1 of 5
A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Placing the client on his side prevents aspiration during a seizure.
Question 2 of 5
A nurse is reviewing a client's laboratory results and finds the hemoglobin is 10 g/dL and the hematocrit is 30%. The nurse recognizes that the client is at risk for which of the following?
Correct Answer: A
Rationale: Low hemoglobin and hematocrit reduce oxygen delivery, causing cellular hypoxia.
Extract:
Diagnostic Results
Admission: 12 hr later.
• Lithium level 1.8 mEq/L (less than 1.5 mEq/L).
• Glucose level 90 mg/dL (74 to 106 mg/dL).
• Sodium 133 mEq/L (135 to 145 mEq/L).
• Lithium level 1.2 mEq/L (less than 1.5 mEq/L).
• Glucose level 80 mg/dL (74 to 106 mg/dL).
• Sodium 134 mEq/L (135 to 145 mEq/L).
Vital Signs
Admission:
• Temperature 37.7° C (99.9° F).
• Respiratory rate 18/min.
• Pulse rate 84/min.
• BP 130/84 mm Hg.
12 hr later:
• Temperature 37° C (98.6° F).
• Respiratory rate 16/min.
• Pulse rate 96/min.
• BP 88/50 mm Hg.
Nurses Notes
Admission:
• Gastrointestinal upset.
• Uncoordinated gait.
12 hr later:
• Client fell asleep during assessment.
• Client reports blurred vision.
• Pale, dry mucous membranes.
• Urine output 40 mL/hr.
Question 3 of 5
A nurse is collecting data from the client 12 hr later. How should the nurse interpret the following findings? For each potential finding, click to specify whether the finding is an indication of potential improvement or an indication of potential worsening condition.
| Options | Potential Improvement | Potential Worsening |
|---|---|---|
| Vision | ||
| Lithium level | ||
| Urine output | ||
| Mucous membranes | ||
| Vital signs |
Correct Answer: A: Potential Worsening, B: Potential Improvement, C: Potential Improvement, D: Potential Worsening, E: Potential Worsening
Rationale: A: Blurred vision indicates potential neurotoxicity. B: Lithium level decrease to 1.2 mEq/L shows improvement. C: Urine output of 40 mL/hr is adequate. D: Pale, dry mucous membranes suggest dehydration. E: Hypotension (88/50 mm Hg) indicates worsening.
Extract:
Question 4 of 5
A nurse is caring for a client who has nephrotic syndrome and is receiving high-dose corticosteroid therapy. For which of the following electrolyte imbalances should the nurse monitor?
Correct Answer: A
Rationale: Corticosteroids promote potassium excretion, leading to hypokalemia.
Question 5 of 5
A nurse is caring for a client who is scheduled to have a magnetic resonance imaging (MRI) scan. The client asks the nurse what to expect during the procedure. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: MRI scans are noisy, and earplugs are offered to reduce discomfort.