ATI RN
ATI Med Surg Monroe College Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical records of four clients who have an acid-base imbalance. The nurse should recognize that which of the following clients is at risk for metabolic acidosis?
Correct Answer: B
Rationale: Diarrhea causes loss of bicarbonate, increasing the risk of metabolic acidosis.
Question 2 of 5
A patient prescribed spironolactone is demonstrating ECG changes and complaining of muscle weakness. The nurse realizes this patient is exhibiting signs of which electrolyte imbalance?
Correct Answer: D
Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, leading to ECG changes and muscle weakness.
Question 3 of 5
A patient recovering from surgery has an indwelling urinary catheter. For which 24-hour urine output volumes should the nurse notify the patient's healthcare provider?
Correct Answer: A
Rationale: A 24-hour urine output of 600 mL indicates oliguria, suggesting possible dehydration or kidney issues, requiring provider notification.
Question 4 of 5
The nurse is caring for a patient diagnosed with hypocalcemia. What additional assessments should the nurse include when caring for this patient?
Correct Answer: C
Rationale: Hypocalcemia can be associated with imbalances in magnesium, phosphorus, and potassium, which should be assessed to manage the condition effectively.
Question 5 of 5
The nurse is reviewing the health problems for a group of assigned patients. Which patient does the nurse recognize as being at increased risk for developing metabolic alkalosis?
Correct Answer: C
Rationale: Frequent vomiting in bulimia causes loss of gastric acid, leading to metabolic alkalosis.