ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to obtain a 24-hr urine collection from a client. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Refrigerating the urine prevents bacterial growth and chemical breakdown, ensuring accurate lab results.
Question 2 of 5
The nurse is teaching the client with hypernatremia about dietary restrictions. Which foods would the nurse tell them to avoid?
Correct Answer: B
Rationale: Cheese, lunch meats, and canned vegetables are high in sodium, worsening hypernatremia.
Question 3 of 5
A nurse is caring for a client with the following Arterial Blood Gases (ABG) pH 7.48, PaCO2 53, and HCO3 31. How would these be interpreted?
Correct Answer: B
Rationale: High pH and elevated HCO3 indicate metabolic alkalosis, with high PaCO2 showing partial respiratory compensation.
Question 4 of 5
A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Metabolic alkalosis can cause neuromuscular excitability, increasing the risk of seizures.
Question 5 of 5
When a client is using a cooling blanket to reduce fever, which finding indicates the need to change treatment?
Correct Answer: B
Rationale: Shivering counteracts the cooling effect of the blanket, increasing body temperature and metabolic demand. This indicates the treatment is ineffective and needs adjustment.