ATI RN
ATI Adult Medical Surgical 2019 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer furosemide to a client who has acute heart failure. Which of the following laboratory results should the nurse identify as a contraindication for receiving the medication?
Correct Answer: C
Rationale: Hypokalemia (potassium 3.2 mEq/L) is a contraindication for furosemide, which can further lower potassium. Normal sodium, creatinine, and BUN are not contraindications.
Question 2 of 5
A nurse is caring for a client who has chronic renal failure. The client displays the following ABG results: pH 7.24, PaCO2 44 mm Hg, PaO2 84 mm Hg, HCO3 18 mEq/L, base excess -2, and O2 saturation 95%. The nurse should conclude that the client has which of the following acid-base imbalances?
Correct Answer: D
Rationale: Low pH (7.24) and low HCO3 (18 mEq/L) with normal PaCO2 indicate metabolic acidosis, common in renal failure due to impaired acid excretion.
Question 3 of 5
A nurse is caring for a client who has pancreatitis and has been receiving total parenteral nutrition. Which of the following laboratory tests should the nurse monitor for overall nutritional status?
Correct Answer: C
Rationale: Prealbumin reflects recent nutritional status due to its short half-life, ideal for monitoring TPN effectiveness. Lipase, C-reactive protein, and creatinine assess other conditions.
Question 4 of 5
A nurse is assessing a client following the insertion of a central venous catheter. Which of the following findings indicates a pneumothorax?
Correct Answer: D
Rationale: Diminished breath sounds on the affected side indicate pneumothorax, a complication of central venous catheter insertion. Distended veins, itching, and irregular heart rate are not specific.
Question 5 of 5
A nurse is planning to teach a client whose provider has prescribed a low-purine diet. The nurse should plan to instruct the client that he can include which of the following foods in his diet? (Select all that apply.)
Correct Answer: B,D
Rationale: Apricots and nuts are low-purine foods suitable for a low-purine diet. Sardines, scallops, and liver are high-purine and should be avoided.