ATI RN
ATI Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory findings of a client who has liver failure with ascites. The client takes spironolactone. Which of the following findings is an adverse effect of the medication?
Correct Answer: C
Rationale: Spironolactone is a potassium-sparing diuretic, and elevated potassium (hyperkalemia) is an adverse effect requiring monitoring.
Question 2 of 5
A nurse is collecting data from a client who has a calcium level of 8 mg/dL. Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: A low calcium level (hypocalcemia) can cause tetany due to increased neuromuscular excitability.
Question 3 of 5
A nurse is assisting with the care of a client who is in hemorrhagic shock and has a prescription for packed red blood cells. Which type of blood can be administered to the client while awaiting blood from a type and cross-match?
Correct Answer: C
Rationale: Type O negative blood is the universal donor and can be safely administered in emergencies.
Question 4 of 5
A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asks the nurse, 'What is the purpose of this test?' Which of the following responses should the nurse give?
Correct Answer: D
Rationale: Serum creatinine is a waste product filtered by the kidneys, and elevated levels indicate impaired renal function.
Question 5 of 5
A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Fluid restriction corrects hyponatremia in SIADH by reducing water retention.