ATI RN
ATI Med Surg Exam 10 Questions
Extract:
Question 1 of 5
A nurse is assessing a preschooler who has a calcium level of 8.0 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Hypocalcemia (low calcium levels) can lead to neuromuscular irritability, which may manifest as muscle tremors or spasms.
Question 2 of 5
A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?
Correct Answer: D
Rationale: This statement indicates possible hematuria (blood in the urine) and pain, which could be indicative of a urinary tract issue related to the kidney stones and requires reporting to the provider for further assessment and management.
Question 3 of 5
A nurse is assessing a client who had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate?
Correct Answer: B
Rationale: SIADH causes the kidneys to retain water, leading to decreased urine output (oliguria) and concentrated urine due to excessive secretion of antidiuretic hormone (ADH).
Question 4 of 5
A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?
Correct Answer: C
Rationale: Not adding fluid-rich foods like ice cream to the total fluid intake demonstrates an understanding of fluid restriction and adherence to the prescribed limit.
Question 5 of 5
A nurse is reviewing the arterial blood gas values for a client. The pH is 7.32, PaCO2 48 mm Hg and the HCO3 is 23 mEq/L. The nurse should recognize that these findings indicate which of the following acid base balances?
Correct Answer: D
Rationale: The pH is below the normal range (7.35-7.45), indicating acidosis. The PaCO2 is elevated, indicating respiratory acidosis, as an increase in PaCO2 leads to an increase in carbonic acid and a decrease in pH.