ATI RN
ATI Med Surg Exam 10 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?
Correct Answer: A
Rationale: A urine output of 175 ml over 8 hours indicates oliguria, which can be concerning in a client with impaired renal function. It suggests decreased kidney function and inadequate elimination of waste products and fluids, necessitating prompt notification of the healthcare provider.
Question 2 of 5
A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism?
Correct Answer: B
Rationale: A manifestation of hypoparathyroidism would be a high phosphate level due to the low production of parathyroid hormone, which is responsible for regulating calcium and phosphate levels. It leads to reduced phosphate excretion.
Question 3 of 5
George Kent is a 54-year-old widower with a history of chronic obstructive pulmonary disease and was rushed to the emergency department with increasing shortness of breath, pyrexia, and a productive cough with yellow-green sputum. He has difficulty communicating because of his inability to complete a sentence. Upon examination, crackles and wheezes can be heard in the lower lobes; he has tachycardia and a bounding pulse. Measurement of arterial blood gas shows pH 7.3, PaCO2 68 mm Hg, HCO3 28 mmol/L and PaO2 60 mm Hg. How would you interpret this?
Correct Answer: C
Rationale: The low pH (acidosis) and high PaCO2 indicate respiratory acidosis. The increased HCO3 suggests a renal compensatory mechanism attempting to normalize the pH.
Question 4 of 5
A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Lethargy is a common symptom of hypothyroidism due to decreased metabolic rate and energy levels.
Question 5 of 5
A nurse is assessing a client who has chronic kidney disease. Which of the following findings is a manifestation of hyperkalemia?
Correct Answer: B
Rationale: Hyperkalemia can lead to neuromuscular manifestations, including decreased deep tendon reflexes due to suppression of neuromuscular excitability.