ATI RN
ATI Med Surg Exam 1A Questions
Extract:
Question 1 of 5
A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hypocalcemia (7.6 mg/dL) causes neuromuscular excitability, leading to tingling in extremities.
Question 2 of 5
A nurse is assessing a client who has had diarrhea for several days. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Diarrhea causes fluid loss, leading to dehydration.
Question 3 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 indicate fluid overload; swelling at the IV site is localized, and high urine specific gravity suggests dehydration.
Question 4 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: pH 7.32 and PaCO2 48 mm Hg indicate respiratory acidosis due to CO2 retention.
Question 5 of 5
A nurse is admitting a client who has a serum calcium level of 12.3 mg/dL and initiates cardiac monitoring. Which of the following findings should the nurse expect during the initial assessment?
Correct Answer: C
Rationale: Hypercalcemia (12.3 mg/dL) causes CNS depression, leading to lethargy.