Questions 42

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ATI RN Test Bank

ATI Med Surg Exam 1A Questions

Extract:


Question 1 of 5

A nurse is admitting a client who has a serum calcium level of 12.3 mg/dL and initiates cardiac monitoring. Which of the following findings should the nurse expect during the initial assessment?

Correct Answer: C

Rationale: Hypercalcemia (12.3 mg/dL) causes CNS depression, leading to lethargy.

Question 2 of 5

A nurse is monitoring a client who is receiving packed RBCs. The nurse identifies which of the following as an expected finding?

Correct Answer: C

Rationale: Y tubing with normal saline is standard for blood transfusions to flush the line and prevent clotting.

Question 3 of 5

A newly hired nurse is preparing to remove a client's IV catheter. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Reviewing the facility's policies ensures the nurse follows standardized, safe procedures specific to the institution.

Question 4 of 5

A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor?

Correct Answer: A,B,C,D

Rationale: Metabolic alkalosis causes lethargy, circumoral paresthesia, bicarbonate excess, and flushing due to high pH and bicarbonate levels.

Question 5 of 5

A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?

Correct Answer: A

Rationale: Generalized urticaria (hives) is a common sign of an allergic transfusion reaction.

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