ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has type 1 diabetes mellitus and has a blood glucose level of 550 mg/dL. Which of the following should the nurse assess the client for if diabetic ketoacidosis (DKA) is suspected?
Correct Answer: C
Rationale: Mental status changes are a key DKA symptom due to acidosis. Dizziness, nervousness, and clammy skin are less specific.
Question 2 of 5
A nurse is collecting a medication history from a client who is scheduled to have a cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?
Correct Answer: D
Rationale: Metformin increases AKI risk with contrast dye, especially in renal impairment. Carvedilol, atorvastatin, and nitroglycerin do not.
Question 3 of 5
The nurse reviews data from a new client's kidney function test. Which of the following standards of transplant nursing practice is the nurse primarily performing?
Correct Answer: B
Rationale: Reviewing kidney function test data is assessment, collecting and analyzing information for care planning.
Question 4 of 5
A nurse is teaching a group of unlicensed assistive personnel about urinary tract infections (UTIs) in clients who have vaginas. When describing why clients who have vaginas have higher rates of UTIs than clients who do not have vaginas, which of the following explanations should the nurse use?
Correct Answer: B
Rationale: A shorter urethra in clients with vaginas allows easier bacterial access to the bladder. Alkalotic urine, detrusor strength, and bladder capacity are not primary factors.
Question 5 of 5
A nurse is providing teaching to a client who has renal failure and an elevated phosphorous level. The provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of the following adverse effects should the nurse inform the client?
Correct Answer: B
Rationale: Aluminum hydroxide commonly causes constipation as a side effect. Muscle spasms, headaches, and metallic taste are not typical.