Questions 48

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ATI RN Test Bank

ATI Med Surg Monroe College Questions

Extract:


Question 1 of 5

A nurse is assessing a client who has chronic kidney disease for fluid volume increase. Which of the following provides a reliable measure of fluid retention?

Correct Answer: B

Rationale: Daily weight is the most reliable measure of fluid retention, reflecting changes in total body water.

Question 2 of 5

The nurse is planning care for a patient with severe burns. What health problem should the nurse realize that this patient could develop?

Correct Answer: C

Rationale: Severe burns cause extracellular fluid deficit due to fluid loss from damaged skin, leading to hypovolemia and impaired tissue perfusion.

Question 3 of 5

The patient who has a serum magnesium level of 1.4 mg/dL is being treated with dietary modification. Which foods should the nurse suggest for this patient?

Correct Answer: A

Rationale: Almonds are high in magnesium (80 mg/ounce), suitable for treating hypomagnesemia.

Question 4 of 5

The patient is prescribed to receive intravenous potassium chloride (KCL). Which actions should the nurse take when administering this medication? (Select all that apply)

Correct Answer: A,B,C

Rationale: Using an infusion controller, diluting KCL, and monitoring for redness ensure safe administration and prevent complications.

Question 5 of 5

The nurse is concerned that a patient recovering from a thyroidectomy is developing hypocalcemia. What findings did the nurse use to come to this conclusion? (Select all that apply)

Correct Answer: A,B,C,D

Rationale: Chvostek's sign, Trousseau's sign, and paresthesia (numbness/tingling) are indicators of hypocalcemia.

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