ATI RN
ATI Adult Med Surg Nurs 4292 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has an obstruction of the common bile duct resulting from chronic cholecystitis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Fatty stools (steatorrhea) occur with common bile duct obstruction because bile cannot reach the intestine to emulsify fats.
Question 2 of 5
A nurse is reviewing a client's laboratory report of arterial blood gas (ABG) findings: pH 7.28, HCO3 18, and PaCO2 36. Which of the following conditions should the nurse anticipate when interpreting these findings?
Correct Answer: C
Rationale: Low pH with low HCO3 indicates metabolic acidosis with appropriate respiratory compensation.
Question 3 of 5
A nurse is preparing to administer digoxin at a dosage of 8 mcg/kg/day orally, divided equally every 12 hours, to a preschooler who weighs 33 lbs. Digoxin elixir is available at a concentration of 0.05 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1.2
Rationale: Calculation: 33 lbs ÷ 2.2 = 15 kg; 15 kg × 8 mcg/kg/day = 120 mcg/day; 120 mcg ÷ 2 = 60 mcg/dose; 60 mcg = 0.06 mg; 0.06 mg ÷ 0.05 mg/mL = 1.2 mL
Question 4 of 5
The healthcare provider has determined that a client has contracted hepatitis A based on flu-like symptoms and jaundice. Which statement made by the client supports this medical diagnosis?
Correct Answer: B
Rationale: Hepatitis A is typically transmitted through contaminated food/water - shellfish is a known source.
Question 5 of 5
The healthcare provider prescribes lactulose for a patient with hepatic encephalopathy. What will the nurse assess to determine the effectiveness of this medication?
Correct Answer: A
Rationale: Lactulose works by reducing blood ammonia levels, which is its primary mechanism in treating hepatic encephalopathy.