ATI RN
ATI Med Surg Custom N235 Final Summer 2023 Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification?
Correct Answer: C
Rationale: Continuous IV fluids (50 mL/hr) in acute heart failure may worsen fluid overload, requiring clarification.
Question 2 of 5
A nurse is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Hyperkalemia is expected in the oliguric phase of AKI due to reduced potassium excretion.
Question 3 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.
Question 4 of 5
A nurse is assessing a client who has a score of 6 on the Glasgow Coma Scale. The nurse should expect which of the following outcomes based on this score?
Correct Answer: B
Rationale: A GCS of 6 indicates severe impairment requiring total care, but not a deep coma (GCS 3).
Question 5 of 5
A nurse in the emergency department is caring for a client following an automobile crash in which the client was unrestrained and thrown from the vehicle. When assessing the client, the nurse observes clear fluid draining from the client's nose. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: Clear nasal drainage may be CSF; allowing it to drip onto gauze avoids contamination.