ATI RN
ATI Advanced Med Surg Final Exam 0924 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).
Correct Answer: B,D,E
Rationale: Bone pain is common in ESRD due to disturbances in calcium and phosphate metabolism, leading to renal osteodystrophy. Slurred speech is a typical finding in ESRD. Pruritus is a common symptom in ESRD due to the buildup of uremic toxins and alterations in calcium and phosphate metabolism.
Question 2 of 5
A nurse is teaching an assistive personnel (AP) about the purpose of a footplate on the bed of a client whose leg is in Buck's traction. Which of the following statements indicates the AP understands the teaching?
Correct Answer: B
Rationale: The footplate helps to prevent foot drop by maintaining proper alignment of the foot and leg in Buck's traction.
Question 3 of 5
A nurse is caring for a client who has Paget's disease of the bone. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Bone pain, hearing loss, cranial enlargement, and vision deficits are all potential symptoms of Paget's disease due to abnormal bone remodeling and nerve compression.
Question 4 of 5
The healthcare provider prescribes regular insulin 8 units/hr intravenously (IV). The IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline. How many mL/hr should the nurse program the infusion pump? (Enter numerical value only.)
Correct Answer: B
Rationale: The solution is 100 units in 100 mL, or 1 unit/mL. For 8 units/hr, the pump should be set to 8 mL/hr.
Question 5 of 5
A nurse is performing pulmonary hygiene for a client who has pneumonia and positions the client on his left side in Trendelenburg position. From which of the following lung segments should the nurse expect secretions to be mobilized with this position?
Correct Answer: A
Rationale: Placing the client on the left side in Trendelenburg position promotes drainage from the right lower lobe's lateral segment by using gravity to mobilize secretions.