ATI RN
ATI Med Surg Final Exam I Questions
Extract:
Question 1 of 5
A patient undergoes left above-the-knee amputation with an immediate prosthetic fitting. When the patient arrives on the orthopedic unit after surgery, which action should the nurse take?
Correct Answer: C
Rationale: Assessing for hemorrhage or poor circulation is critical post-amputation to detect complications early.
Question 2 of 5
A nurse is caring for a client who has heart failure and a new prescription for furosemide. Which of the following laboratory values should the nurse review before administering furosemide?
Correct Answer: B
Rationale: Potassium levels must be reviewed before administering furosemide, a diuretic that can cause hypokalemia, risking cardiac arrhythmias.
Question 3 of 5
A patient is receiving 3% NaCl solution for correction of hyponatremia. For which of the following will the nurse assess?
Correct Answer: C
Rationale: Hypertonic saline (3% NaCl) poses a risk of fluid overload, requiring monitoring for edema and pulmonary congestion.
Question 4 of 5
The nurse is preparing to administer sodium polystyrene sulfonate (Kayexalate) rectally to a patient with an irregular pulse and weakness of the lower extremities. What laboratory finding does the nurse determine is the reason for this treatment?
Correct Answer: B
Rationale: Sodium polystyrene sulfonate is used to treat hyperkalemia by exchanging sodium for potassium in the intestines, reducing blood potassium levels. Symptoms like irregular pulse and weakness support this diagnosis.
Question 5 of 5
A client is admitted to the emergency room with renal colic due to renal lithiasis (stones). What is the nurse's highest priority in managing care for this client?
Correct Answer: C
Rationale: Administering pain medication is the priority to manage severe pain from renal colic, facilitating further care.