ATI RN
ATI 24 Spns 126 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has right-sided heart failure. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Peripheral edema is a common finding in right-sided heart failure due to blood backup in systemic circulation, causing fluid accumulation in tissues.
Question 2 of 5
A nurse is preparing to administer 0.9% sodium chloride IV infusion 1000 mL bag at a rate of 200 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (Round the answer to the nearest whole number. (Use a leading zero if it applies. Do not use a trailing zero))
Correct Answer: A
Rationale: 1000 mL ÷ 200 mL/hr = 5 hours. The infusion will take 5 hours.
Question 3 of 5
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply)
Correct Answer: B,C,D
Rationale: Sweating, blurry vision, and tachycardia are manifestations of hypoglycemia due to adrenaline release and glucose deficiency affecting bodily functions.
Question 4 of 5
A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease (GERD) about minimizing the effects of reflux during sleep. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: Elevating the head of the bed helps reduce acid reflux by keeping stomach acid from flowing back into the esophagus during sleep.
Question 5 of 5
A nurse is reinforcing teaching with a client who has neutropenia. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Avoiding crowded places reduces infection risk in neutropenic clients with low white blood cell counts.