ATI RN
ATI Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Fluid restriction corrects hyponatremia in SIADH by reducing water retention.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. The nurse should recognize that which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Phenytoin is a long-term treatment, and stopping it abruptly can lead to seizure recurrence, indicating a need for further education.
Question 3 of 5
A nurse is reinforcing discharge teaching on actions that improve gas exchange to a client diagnosed with emphysema. Which of the following instructions should be included in the teaching?
Correct Answer: B
Rationale: Pursed-lip breathing maintains positive airway pressure, improving gas exchange in emphysema.
Question 4 of 5
A nurse is assigned care of a client who has HIV. Which of the following infection control precautions should the nurse plan to use while caring for this client?
Correct Answer: C
Rationale: Standard precautions are used for all patients, including those with HIV, to prevent transmission via blood or body fluids.
Question 5 of 5
A nurse is caring for a male client who reports nausea and vomiting and is receiving IV fluid therapy. The client's BUN is 32 mg/dL, creatinine 1.1 mg/dL, and hematocrit 50%. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Evaluating urine output and specific gravity assesses renal function and fluid balance, especially with an elevated BUN suggesting possible dehydration.