ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
A nurse notes in the client's health history a diagnosis of hepatitis B. Which of the following activities would most likely put the client at risk for this illness?
Correct Answer: D
Rationale: Tattooing with unsterile needles risks hepatitis B, matching the 90-day incubation. Undeveloped areas , conferences , and recent birth are less likely.
Question 2 of 5
The nurse is assessing a client with esophageal varices. Which of these findings would be early indicators of bleeding?
Correct Answer: D
Rationale: Tachycardia, restlessness, and pallor indicate early blood loss from varices. Epigastric fullness is vague, yellow sclera reflects liver issues, and bradycardia/lethargy are late signs.
Question 3 of 5
The nurse is educating a client on hyperparathyroidism. Which of the following statements would require further teaching?
Correct Answer: D
Rationale: Fluid restriction (1,000 mL) worsens hypercalcemia; increased fluids dilute calcium. Fiber , furosemide , and parathyroidectomy are correct.
Question 4 of 5
Your labs are potassium 6.4, sodium 138, and serum calcium level of 9. Which order from the healthcare provider would the nurse anticipate?
Correct Answer: C
Rationale: Kayexalate binds potassium in the gut, facilitating its excretion, effectively lowering serum levels (6.4 mEq/L) in hyperkalemia. Fluid restriction may worsen potassium concentration, neomycin is irrelevant, and sodium chloride with furosemide is less direct than Kayexalate for rapid correction.
Question 5 of 5
Which electrolyte will be high in a client with hypoparathyroidism?
Correct Answer: A
Rationale: Hypoparathyroidism reduces PTH, raising phosphorus by decreasing excretion. Calcium drops, magnesium and potassium are unaffected.