ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?
Correct Answer: B
Rationale: 0.9% sodium chloride IV bolus corrects dehydration and hypotension in DKA.
Question 2 of 5
A nurse is preparing to administer medications to four clients. The nurse should administer medications to which of the following clients first?
Correct Answer: C
Rationale: Hyperkalemia (5.8 mEq/L) is life-threatening and requires immediate intervention with sodium polystyrene sulfonate.
Question 3 of 5
A nurse is monitoring an older adult female client who had a myocardial infarction (MI) for the development of an acute kidney injury (AKI). Which of the following findings should the nurse identify as indicating an increased risk of AKI?
Correct Answer: D
Rationale: Elevated serum creatinine (1.8 mg/dL) indicates reduced kidney function, increasing AKI risk post-MI.
Question 4 of 5
A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?
Correct Answer: C
Rationale: Oliguria is expected in hypovolemic shock due to decreased renal perfusion.
Question 5 of 5
A nurse is reviewing the arterial blood gas results for a client in the ICU who has kidney failure and determines the client has respiratory acidosis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Widened QRS complexes can occur in respiratory acidosis due to hyperkalemia from kidney failure.