ATI RN
ATI Med Surg Monroe College Questions
Extract:
Question 1 of 5
A nurse is caring for four hospitalized clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit?
Correct Answer: A
Rationale: Gastroenteritis and fever cause fluid loss through vomiting, diarrhea, and sweating, increasing the risk of fluid volume deficit.
Question 2 of 5
A patient with fluid overload is prescribed furosemide (Lasix) 20 mg by mouth each day. What should the nurse include when teaching the patient about this medication? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Furosemide increases urination, may cause weakness/dizziness, and requires monitoring weight and allergic reactions.
Question 3 of 5
The nurse is reviewing the health problems for a group of assigned patients. Which patient does the nurse recognize as being at increased risk for developing metabolic alkalosis?
Correct Answer: C
Rationale: Frequent vomiting in bulimia causes loss of gastric acid, leading to metabolic alkalosis.
Question 4 of 5
The nurse is concerned that a patient recovering from a thyroidectomy is developing hypocalcemia. What findings did the nurse use to come to this conclusion? (Select all that apply)
Correct Answer: A,B,C,D
Rationale: Chvostek's sign, Trousseau's sign, and paresthesia (numbness/tingling) are indicators of hypocalcemia.
Question 5 of 5
A patient with chronic renal failure has an occluded arteriovenous fistula, and routine hemodialysis is delayed. However, the patient's serum potassium level is 6.0 mEq/L. What should the nurse expect to be prescribed for this patient? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Sodium polystyrene sulfonate, dextrose, sodium bicarbonate, and insulin help lower serum potassium levels in hyperkalemia.