ATI RN
ATI Med Surg Final Exam Nsg 232 Questions
Extract:
Question 1 of 5
A nurse is reviewing the EKG strip of a client who has End Stage Renal Disease (ESRD) and has missed hemodialysis. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hyperkalemia?
Correct Answer: B
Rationale: Peaked T waves are a classic EKG sign of hyperkalemia due to altered cardiac repolarization.
Question 2 of 5
A nurse is caring for a client diagnosed with congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Checking the apical pulse first assesses for bradycardia, a sign of potential digoxin toxicity.
Question 3 of 5
The nurse is providing care to a client who sustained burns to 70% of the body 6 hours ago. Which of the following new assessment data requires the nurse to notify the healthcare provider?
Correct Answer: B
Rationale: Hypotension (96/50 mm Hg) indicates potential shock or inadequate perfusion, requiring immediate provider notification.
Question 4 of 5
A nurse is teaching a client diagnosed with gout about the new prescription for colchicine. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Colchicine can cause myotoxicity, and monitoring for muscle pain is essential to detect this adverse effect.
Question 5 of 5
A nurse is caring for a client diagnosed with advanced COPD. The nurse should anticipate which assessment findings when caring for clients with advanced COPD? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Pursed-lip breathing, clubbing of fingers, and dyspnea at rest are characteristic of advanced COPD. Elevated temperature and concave chest are not typical.