ATI RN
ATI nur330 Med Surg Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect?
Correct Answer: A,C,D
Rationale: Fluid overload causes tachycardia to compensate for increased volume, hypertension due to increased vascular resistance, and tachypnea from pulmonary congestion. Hematocrit is typically decreased due to dilution. Temperature is not directly affected unless infection is present.
Question 2 of 5
A nurse is assisting with triaging clients following an explosion. Which of the following clients should the nurse identify as the highest priority?
Correct Answer: B
Rationale: In mass casualty triage, clients with compromised respiration (>30 breaths/min) are prioritized as they may deteriorate quickly. Unconscious clients with absent respirations are considered unsalvageable in triage protocols.
Question 3 of 5
A nurse is providing teaching to the family of a client who has Parkinson's disease. Which of the following information should the nurse include in the teaching?
Correct Answer: D
Rationale: Clients with Parkinson's disease require supervision due to increased fall and aspiration risks. Continuous television can cause overstimulation, loud speech is unnecessary, and physical activity should be encouraged to maintain mobility.
Question 4 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect?
Correct Answer: A,C,D
Rationale: Fluid overload causes tachycardia to compensate for increased volume, hypertension due to increased vascular resistance, and tachypnea from pulmonary congestion. Hematocrit is typically decreased due to dilution. Temperature is not directly affected unless infection is present.
Question 5 of 5
A nurse is providing care for a client diagnosed with diabetic ketoacidosis (DKA). Which of the following characteristics are associated with DKA?
Correct Answer: C,E,F
Rationale: DKA is characterized by metabolic acidosis, hyperglycemia (>250 mg/dL), and ketosis due to fat breakdown. It causes dehydration, not fluid overload, and is associated with high, not low, blood sugar.