ATI RN
ATI Med Surg Nurs 224g Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has acute kidney injury about the oliguric phase. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: The oliguric phase is defined by a urine output of less than 400 mL per 24 hours due to decreased kidney function.
Question 2 of 5
A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is experiencing ventricular tachycardia (VT). Which of the following actions should the nurse anticipate needing to take?
Correct Answer: A
Rationale: Defibrillation is used for life-threatening rhythms like ventricular tachycardia if the patient is unstable.
Question 3 of 5
A nurse is planning care for a client who has just had spinal surgery. Which of the following actions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Neurological checks every 2 hours are essential post-spinal surgery to monitor for changes or deterioration in neurological status.
Question 4 of 5
A nurse is caring for a client who has meningitis and a temperature of 39.7°C (103.5°F). The client is prescribed a hypothermia blanket. While using this therapy, the nurse should know that the client must be carefully observed for which of the following complications?
Correct Answer: C
Rationale: Shivering is a natural response to cooling from the hypothermia blanket and may need to be controlled with medications.
Question 5 of 5
A nurse is talking with a client whose thyroid stimulating hormone (TSH) level will be measured. Which of the following statements by the nurse explains the purpose of this test?
Correct Answer: C
Rationale: TSH levels are measured to determine thyroid gland activity, which influences the metabolic rate.