ATI RN
ATI 24 Spns 126 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to administer ondansetron 4 mg IM stat. The amount available is ondansetron for injection 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. (Use a leading zero if it applies. Do not use a trailing zero))
Correct Answer: 2 mL
Rationale: 4 mg ÷ 2 mg/mL = 2 mL. The nurse should administer 2 mL.
Question 2 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:
Correct Answer: D
Rationale: Polyuria is a symptom of hyperglycemia, and effective diabetes management aims to reduce such symptoms.
Question 3 of 5
A nurse is assisting with the care of a client who has hypocalcemia. For which of the following signs should the nurse monitor?
Correct Answer: C
Rationale: Chvostek's sign, facial muscle twitching when tapping the facial nerve, is a clinical sign of hypocalcemia.
Question 4 of 5
A nurse is reviewing the laboratory results of a client who is postoperative and has a respiratory rate of 7/min. The arterial blood gas (ABG) values include: pH 7.22, PaCO₂ 68 mm Hg, Base excess -2, PaO₂ 78 mm Hg, Oxygen saturation 80%, Bicarbonate 28 mEq/L. Which of the following interpretations of the ABG values should the nurse make?
Correct Answer: B
Rationale: Low pH (7.22) and high PaCO₂ (68 mm Hg) indicate respiratory acidosis, caused by CO₂ accumulation due to inadequate ventilation.
Question 5 of 5
A nurse is collecting data from a client who has end-stage kidney disease and is waiting for transport to dialysis. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Peripheral edema is common in end-stage kidney disease due to the kidneys' inability to remove excess fluid.