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 metabolic alkalosis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Metabolic alkalosis can cause neuromuscular excitability, increasing the risk of seizures.
Question 2 of 5
The nurse is calculating the output of a client at the end of the shift. The nurse notes the following: the client voided 400 mL at 1100 and 350 at 1415. The chest tube was previously marked at 155 mL and is now 175 mL. The nasogastric tube has 575 mL in the drainage container and the Jackson Pratt drain had 25 mL emptied from it. How many ml's should the nurse record as output for the shift
Correct Answer: A
Rationale:
Total output is calculated as: Urine (400 mL + 350 mL = 750 mL) + Chest tube (175 mL - 155 mL = 20 mL) + Nasogastric tube (575 mL) + Jackson-Pratt drain (25 mL) = 1,370 mL.
Question 3 of 5
A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Metabolic alkalosis can cause neuromuscular excitability, increasing the risk of seizures.
Question 4 of 5
A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease. The nurse should expect which of the following findings?
Correct Answer: A
Rationale: In CKD, BUN (> 20 mg/dL) and creatinine (> 1.2 mg/dL) are significantly elevated due to reduced kidney function.
Question 5 of 5
The nurse is preparing the discharge teaching plan for a client with a kidney transplant. Which statement indicates the teaching is effective?
Correct Answer: C
Rationale: Fever >101°F (38.3°
C) is an early sign of infection or organ rejection. Prompt medical attention is required.