ATI RN
ATI Nur201 FA2 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
A nurse in the med-surgical ICU is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Hyperkalemia is a common finding in the oliguric phase of acute kidney injury due to reduced excretion of potassium by the kidneys. This electrolyte imbalance can have serious cardiac effects and should be expected and monitored in these patients.
Question 2 of 5
The nurse is assessing a client's eyes and notes that when the client looks at a near object, the pupil constricts, but when the client looks at an object in the distance, the pupil dilates. The nurse should identify this finding as which condition?
Correct Answer: D
Rationale: Accommodation is the process by which the eye adjusts its focus from near to distant objects (or vice versa). This involves changes in the shape of the lens, controlled by the ciliary muscles. The client's ability to focus on objects at varying distances correctly describes the accommodation process.
Question 3 of 5
A client diagnosed with angina pectoris appears to be very anxious and states, 'So I had a heart attack, right?' Which response should the nurse make to the client?
Correct Answer: C
Rationale: Explaining that the client did not have a heart attack but emphasizing the importance of monitoring and managing chest pain provides accurate information and reassurance.
Question 4 of 5
The nurse is caring for a client who is scheduled for an adrenalectomy. The nurse plans to administer which medication in the preoperative period to prevent Addisonian Crisis?
Correct Answer: C
Rationale: Hydrocortisone intravenously provides corticosteroid replacement to prevent Addisonian crisis during adrenalectomy.
Question 5 of 5
A nurse is caring for a client who has a cardiopulmonary arrest. The nurse anticipates the emergency response team will administer which of the following medications if the client's restored rhythm is symptomatic bradycardia?
Correct Answer: B
Rationale: Atropine is the first-line medication for symptomatic bradycardia. It works by blocking the vagus nerve's effects on the heart, increasing heart rate. It is commonly used in emergency settings to manage bradycardia until a more definitive treatment, such as pacemaker insertion, can be provided.