ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
A nurse is teaching a client about self-administered peritoneal dialysis. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: A
Rationale: Heating dialysis fluid in a microwave can cause uneven heating and burns; a specialized warmer should be used.
Question 2 of 5
A nurse is caring for a client who has hyperkalemia and is to receive intravenous insulin. Which of the following should the nurse recognize as an adverse outcome?
Correct Answer: B
Rationale: IV insulin can cause hypoglycemia (glucose <70 mg/dL), an adverse effect of treatment.
Extract:
Medical history
Nursing notes
Vitals signs
Diagnostic testing
44-year-old male reports "not feeling well for the past 3 days. The client reports decreased appetite and generalized abdominal pain with nausea. Client denies any vomiting or diarrhea, the client has a history of Stage IV Chronic Kidney Disease, hypertension, diabetes mellitus, and neuropathy. The client currently completed Continuous Ambulatory Peritoneal Dialysis four times a day. Client lives alone and has 4 cats and is non- compliant with health care visits and follow-ups.
Question 3 of 5
Select the top 5 client findings that require immediate follow-up
| Abdomen rigid with decreased bowel sounds |
| Glucose 220mg/d |
| No dialysis for 24 hours |
| Crackles throughout the lungs |
| WBC 17,000 mm3 |
| Hemoglobin 10g/dL |
| Potassium 7mEq/L |
Correct Answer: A,C,D,E,G
Rationale: A rigid, tender abdomen suggests peritonitis, a life-threatening complication of peritoneal dialysis. Missing dialysis leads to toxin accumulation, hyperkalemia, and fluid overload. Crackles indicate pulmonary edema, requiring intervention to prevent respiratory failure. Leukocytosis suggests infection, possibly peritonitis. Severe hyperkalemia risks life-threatening cardiac arrhythmias.
Extract:
Question 4 of 5
The nurse is providing education to the client with a new arteriovenous fistula and the client asks 'when I touch my fistula feel it vibrate, what does that mean?' What statement by the nurse is the correct way to answer the client's question?
Correct Answer: D
Rationale: A thrill (vibration) indicates adequate blood flow and a patent AV fistula.
Question 5 of 5
The nurse is reviewing the client's following arterial blood gases: pH 7.33, PaCo2 47, HCO3 24. Which manifestation would the nurse expect the client to be experiencing with this imbalance?
Correct Answer: A
Rationale: Respiratory acidosis (low pH, high PaCO2) causes confusion due to decreased brain oxygenation.