ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has hyperkalemia and is to receive intravenous insulin. Which of the following should the nurse recognize as an adverse outcome?
Correct Answer: B
Rationale: IV insulin can cause hypoglycemia (glucose <70 mg/dL), an adverse effect of treatment.
Question 2 of 5
A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Serum creatinine is a key indicator of kidney function, showing how well kidneys filter waste.
Question 3 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients. Which intervention should the nurse perform?
Correct Answer: B
Rationale: Client education on fluid restrictions is a nursing responsibility and cannot be delegated.
Question 4 of 5
The nurse is providing education to the client with a new arteriovenous fistula and the client asks 'when I touch my fistula feel it vibrate, what does that mean?' What statement by the nurse is the correct way to answer the client's question?
Correct Answer: D
Rationale: A thrill (vibration) indicates adequate blood flow and a patent AV fistula.
Question 5 of 5
What type of electrolyte imbalance would most likely occur following the administration of three tap water enemas?
Correct Answer: A
Rationale: Tap water enemas can cause potassium loss via stool and dilutional effects, leading to hypokalemia.