ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is preparing to administer prescribed intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L (normal range: 3.5 to 5 mEq/L). Which of the following actions should the nurse plan to include? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Adequate urine output prevents hyperkalemia (
A). Cardiac monitoring detects arrhythmias (
C). Repeating potassium levels ensures safety (
D). Education and dextrose preparation are not directly related.
Question 2 of 5
A nurse is caring for a client in the clinic who has a distended bladder with discomfort over the area and a sense of fullness. Which of the following tests should the nurse expect the health care provider to order to determine if the client has urinary retention? (Select all that apply.)
Correct Answer: A,E,F
Rationale: Postvoid residual (
A), KUB x-ray (E), and bladder scan (F) directly assess urinary retention. BUN, creatinine, and cystourethrogram evaluate other aspects.
Question 3 of 5
A nurse is caring for a client who has kidney cancer and has been informed that it has metastasized. Which of the following statements should the nurse make when the client asks what metastasis means?
Correct Answer: A
Rationale: Metastasis is the spread of cancer cells from the kidneys to other body parts. Localization, cell transformation, and space-limited growth are incorrect.
Question 4 of 5
A nurse is assessing a client who has end-stage kidney disease and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication the client is experiencing fluid overload?
Correct Answer: C
Rationale: A 5 lb weight gain indicates fluid overload in hemodialysis patients. Flattened veins, normal skin turgor, and 93% oxygen saturation suggest other issues.
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?
Correct Answer: A
Rationale: Diuretics, especially thiazides, increase urinary calcium, promoting stones. Hypocalcemia, family history, and low BMI are less directly linked.