ATI RN
ATI Med Surg Exam 1A Questions
Extract:
Question 1 of 5
A nurse is preparing to administer potassium chloride 20 mEq suspension PO daily. The amount available is potassium chloride suspension 10 mEq/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: Divide desired dose (20 mEq) by concentration (10 mEq/mL): 20 / 10 = 2 mL.
Question 2 of 5
A nurse is assessing a client who has a sodium level of 116 mEq/L. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Severe hyponatremia (116 mEq/L) causes nausea and vomiting due to CNS disturbance.
Question 3 of 5
A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor?
Correct Answer: A,B,C,D
Rationale: Metabolic alkalosis causes lethargy, circumoral paresthesia, bicarbonate excess, and flushing due to high pH and bicarbonate levels.
Question 4 of 5
A nurse is caring for a client whose arterial blood gas results show a pH of 7.3 and a PaCO2 of 50 mm Hg. The nurse should identify that the client is experiencing which of the following acid-base imbalances?
Correct Answer: A
Rationale: A pH of 7.3 (acidic) and PaCO2 of 50 mm Hg (elevated) indicate respiratory acidosis due to CO2 retention.
Question 5 of 5
A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess?
Correct Answer: A,B,C
Rationale: Crackles, bounding pulse, and pitting edema indicate fluid overload; swelling at the IV site is localized, and high urine specific gravity suggests dehydration.