ATI RN
ATI Med Surg Final Exam Nsg 232 Questions
Extract:
Question 1 of 5
A nurse is caring for a client diagnosed with chronic renal disease. The nurse should recognize that which of the following medications is contraindicated for clients with chronic renal disease?
Correct Answer: C
Rationale: Meperidine's metabolites can accumulate in renal impairment, leading to neurotoxicity.
Question 2 of 5
A nurse is reviewing the health history of a client diagnosed with angina pectoris and has a prescription for propranolol hydrochloride PO 40 mg twice daily. Which of the following findings in the client's health history should the nurse report to the provider?
Correct Answer: A
Rationale: Propranolol, a non-selective beta-blocker, can exacerbate bronchospasm in asthma patients and should be reported.
Question 3 of 5
A nurse is reviewing a client's arterial blood gas (ABG) results. Which of the following ABG results should the nurse anticipate when caring for a client with acidosis?
Correct Answer: B
Rationale: Low pH (7.28) and elevated PaCO2 (63 mm Hg) indicate respiratory acidosis.
Question 4 of 5
A client diagnosed with End Stage Renal Disease (ESRD) has a potassium level of 6.8 mEq/L. Which of the following priority actions should the nurse implement?
Correct Answer: C
Rationale: Checking blood pressure assesses cardiovascular status, as hyperkalemia can cause life-threatening arrhythmias.
Question 5 of 5
A nurse is reviewing blood pressure classifications with a group of nurses at an in-service meeting. Which of the following should the nurse include as a risk factor for the development of hypertension?
Correct Answer: C
Rationale: OSA increases sympathetic activity through repeated apnea episodes, contributing to elevated blood pressure.