Questions 87

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ATI RN Test Bank

ATI 24 Spns 126 Med Surg Final Exam Questions

Extract:


Question 1 of 5

A nurse is reinforcing teaching about monitoring weight with a client who has chronic kidney disease. Which of the following instructions should the nurse include in the teaching?

Correct Answer: B

Rationale: Weighing at the same time each day ensures consistent measurements, critical for monitoring fluid retention in CKD.

Question 2 of 5

A nurse is admitting a client who reports recurrent flank pain and nausea for 24 hr. Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Administering pain medication is the priority to alleviate discomfort, allowing for further assessment and treatment.

Question 3 of 5

A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. 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: 22.6 mL

Rationale: 30 mEq ÷ (20 mEq/15 mL) = 22.56 mL, rounded to 22.6 mL.

Question 4 of 5

A nurse is caring for an older adult client who has left-sided heart failure. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Frothy sputum is a symptom of left-sided heart failure due to pulmonary congestion and edema.

Question 5 of 5

A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer: A,D

Rationale: Monitoring the puncture site for hematoma and encouraging fluid intake are crucial to detect complications and replenish cerebrospinal fluid, reducing the risk of post-lumbar puncture headache.

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