ATI RN
ATI Med Surg Exam 10 Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Absent deep-tendon reflexes and respiratory depression are signs of magnesium toxicity. Discontinuing the medication infusion is essential to prevent further toxicity.
Question 3 of 5
Mrs. Jamerson, who had undergone surgery in the post-anesthesia care unit (PACU), is difficult to arouse two hours following surgery. Nurse Williams in the PACU has been administering Morphine Sulfate intravenously to the client for complaints of post-surgical pain. The client's respiratory rate is 7 per minute and demonstrates shallow breathing. The patient does not respond to any stimuli. The nurse assesses the ABCs (remember Airway, Breathing, Circulation!) and obtains ABGS STAT! Arterial blood gas measurement shows pH 7.10, PaCO2 70 mm Hg, and HCO3 24 mEq/L. What does this mean?
Correct Answer: C
Rationale: The low pH (acidosis) along with the high PaCO2 indicate respiratory acidosis, and there is no evidence of compensation by the kidneys (normal HCO3).
Question 4 of 5
A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Checking urine specific gravity helps assess the concentration of urine, which can be very dilute in diabetes insipidus.
Question 5 of 5
A nurse is discussing laboratory values associated with the renal system with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the values?
Correct Answer: A
Rationale: Creatinine levels rise in acute kidney injury due to impaired kidney function, as the kidneys are unable to effectively filter creatinine from the blood.