ATI RN
ATI Med Surg Exam 10 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: A
Rationale: Salicylate intoxication can lead to metabolic acidosis due to the accumulation of salicylic acid, which increases metabolic rate and production of organic acids.
Question 2 of 5
A nurse is collecting the medical history from a client who has manifestations of syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if he has a history of which of the following conditions that can cause SIADH?
Correct Answer: A
Rationale: Certain malignancies, particularly lung cancer, can produce ectopic antidiuretic hormone (ADH) or ADH-like substances, leading to SIADH.
Question 3 of 5
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?
Correct Answer: B
Rationale: A respiratory rate of 16/min indicates that the client is not experiencing respiratory depression, a potential side effect of magnesium sulfate toxicity.
Question 4 of 5
A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse should include in the teaching that the client is at risk for which of the following complications?
Correct Answer: A
Rationale: Hyperparathyroidism can lead to bone resorption and weakening, putting the client at risk for fractures.
Question 5 of 5
A nurse is caring for a client who has respiratory alkalosis and is hyperventilating. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Having the client breathe into a paper bag helps retain carbon dioxide, which can help reverse respiratory alkalosis by increasing PaCO2 levels and subsequently decreasing pH.