ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a urine output of 250 mL in a 24-hr period. Which of the following descriptive terms should the nurse place in the client's electronic record?
Correct Answer: D
Rationale: Oliguria is defined as urine output < 400 mL/24 hours; 250 mL qualifies.
Question 2 of 5
The nurse is teaching the client with hypernatremia about dietary restrictions. Which foods would the nurse tell them to avoid?
Correct Answer: B
Rationale: Cheese, lunch meats, and canned vegetables are high in sodium, worsening hypernatremia.
Question 3 of 5
A nurse is reviewing IV solutions to identify which solution falls under which category.
Correct Answer: A,B,C,D
Rationale: 0.45% Sodium Chloride is hypotonic, causing fluid to shift into cells. 0.9% Sodium Chloride and Lactated Ringers are isotonic, maintaining intravascular volume. Albumin is hypertonic, pulling fluid into the bloodstream.
Extract:
Diagnostic Results
Nurses' Notes
Vital Signs
1230:
Right wrist x-ray indicates non-displaced distal radius fracture
Question 4 of 5
The client is at risk for developing [Dropdown Group 1] and [Dropdown Group 2].
Correct Answer: A,E
Rationale: Opioid-induced respiratory depression can cause respiratory acidosis, and IV therapy increases the risk of phlebitis.
Extract:
Question 5 of 5
The client receiving hemodialysis is complaining of being dizzy and light-headed. Which action should the nurse implement first?
Correct Answer: A
Rationale: Dizziness and lightheadedness during dialysis suggest hypotension, a common complication. The nurse should first assess vital signs to determine the severity before taking further action.