ATI RN
ATI Med Surg Monroe College Questions
Extract:
Question 1 of 5
A nurse is caring for a patient whose sodium level is 118 mEq/L. Which nursing diagnosis is a priority for this patient?
Correct Answer: B
Rationale: Severe hyponatremia (118 mEq/L) can cause cerebral edema, leading to disturbed sensory perception, a priority diagnosis.
Question 2 of 5
A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Metabolic alkalosis causes bicarbonate excess, lethargy, and circumoral paresthesia due to hypocalcemia.
Question 3 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: A
Rationale: Hyperphosphatemia (5.7 mg/dL) is a manifestation of hypoparathyroidism due to low parathyroid hormone levels.
Question 4 of 5
A patient newly diagnosed with diabetes mellitus is admitted to the emergency department with nausea, vomiting, and abdominal pain. ABG results reveal a pH of 7.2 and a bicarbonate level of 20 mEq/L. What other assessment findings should the nurse anticipate in this patient? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: Metabolic acidosis in diabetic ketoacidosis causes Kussmaul respirations, dysrhythmias, tachycardia, and weakness.
Question 5 of 5
A patient with atrial fibrillation and a serum potassium level of 3.0 mEq/L takes digoxin (Lanoxin), ASA (aspirin), KCL (potassium chloride) and warfarin (Coumadin) daily. The patient reports visual disturbances. The nurse suspects problems with which medication?
Correct Answer: A
Rationale: Digoxin toxicity, exacerbated by hypokalemia, can cause visual disturbances such as blurred vision or halos.