ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who had a total thyroidectomy and a low serum calcium level of 7.4 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hypocalcemia can occur after a total thyroidectomy due to accidental removal or damage to the parathyroid glands. Neuromuscular excitability, including paresthesia (numbness and tingling), tetany, and muscle spasms, are classic signs.
Question 3 of 5
The nurse is caring for a client who has chronic renal disease and is receiving therapy with erythropoietin (epoetin alpha). Which of the following laboratory results should the nurse review as an indication of a therapeutic effect of this medication?
Correct Answer: B
Rationale: Erythropoietin stimulates red blood cell production, increasing hemoglobin levels in clients with CKD-related anemia.
Question 4 of 5
The nurse is reviewing the electrolyte results of a client and notes that the potassium level is 5.7. Which pattern on the cardiac monitor would the nurse expect to see?
Correct Answer: B
Rationale: Hyperkalemia (K+ > 5.0 mEq/L) causes tall, peaked T waves due to abnormal repolarization.
Question 5 of 5
A nurse is assessing a client who is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse identify as possible organ rejection?
Correct Answer: A
Rationale: Reduced urine output (oliguria) can indicate acute rejection due to decreased renal function.