ATI RN
ATI Med Surg Exam 1A Questions
Extract:
Question 1 of 5
A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess?
Correct Answer: A,B,C
Rationale: Crackles, bounding pulse, and pitting edema are signs of fluid volume excess.
Question 2 of 5
A home health nurse is assessing an older adult client in the home who has decreased vision due to a history of glaucoma. Which of the following findings should the nurse identify as a safety risk?
Correct Answer: A
Rationale: Scatter rugs pose a tripping hazard, especially for clients with impaired vision, increasing fall risk.
Question 3 of 5
A nurse is preparing to administer potassium chloride (KCL) to a client who is receiving diuretic therapy. The nurse reviews the client's serum potassium level results and discovers the client's potassium level is 3.2 mEq/L. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A potassium level of 3.2 mEq/L indicates hypokalemia; administering KCL corrects this deficiency.
Question 4 of 5
A nurse is caring for a client who is unconscious and has a living will. The client's family asks if they can make changes to lifesaving measures now that the client is unconscious. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: A living will outlines the client's wishes for lifesaving measures, guiding care when they are incapacitated.
Question 5 of 5
A nurse is reviewing a client's laboratory values and discovers the client has a serum potassium of 6.2 mEq/L. Which of the following interventions should the nurse anticipate?
Correct Answer: B
Rationale: Sodium polystyrene sulfonate treats hyperkalemia by exchanging sodium for potassium in the intestines, reducing blood potassium levels.