ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who had a total thyroidectomy and a low serum calcium level of 7.4 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hypocalcemia can occur after a total thyroidectomy due to accidental removal or damage to the parathyroid glands. Neuromuscular excitability, including paresthesia (numbness and tingling), tetany, and muscle spasms, are classic signs.
Question 2 of 5
A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?
Correct Answer: A
Rationale: Reduced urine output (oliguria) can indicate acute rejection due to decreased renal function.
Question 3 of 5
Which of the following manifestations are commonly seen in an end stage renal disease patient with fluid overload?
Correct Answer: D
Rationale: Fluid overload causes peripheral and pulmonary edema due to impaired kidney function.
Extract:
Medical history
Nursing notes
Vitals signs
Diagnostic testing
44-year-old male reports "not feeling well for the past 3 days. The client reports decreased appetite and generalized abdominal pain with nausea. Client denies any vomiting or diarrhea, the client has a history of Stage IV Chronic Kidney Disease, hypertension, diabetes mellitus, and neuropathy. The client currently completed Continuous Ambulatory Peritoneal Dialysis four times a day. Client lives alone and has 4 cats and is non- compliant with health care visits and follow-ups.
Question 4 of 5
Select the top 5 client findings that require immediate follow-up
| Abdomen rigid with decreased bowel sounds |
| Glucose 220mg/d |
| No dialysis for 24 hours |
| Crackles throughout the lungs |
| WBC 17,000 mm3 |
| Hemoglobin 10g/dL |
| Potassium 7mEq/L |
Correct Answer: A,C,D,E,G
Rationale: A rigid, tender abdomen suggests peritonitis, a life-threatening complication of peritoneal dialysis. Missing dialysis leads to toxin accumulation, hyperkalemia, and fluid overload. Crackles indicate pulmonary edema, requiring intervention to prevent respiratory failure. Leukocytosis suggests infection, possibly peritonitis. Severe hyperkalemia risks life-threatening cardiac arrhythmias.
Extract:
Question 5 of 5
The nurse is caring for a client diagnosed with acute renal failure and has a potassium level of 8.3 mEq/L. What collaborative intervention would be a priority for this client?
Correct Answer: A
Rationale: A potassium level of 8.3 mEq/L is critically high, putting the client at immediate risk for life-threatening cardiac arrhythmias. Emergency dialysis is needed to remove excess potassium.