ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
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 1 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 2 of 5
A nurse is teaching a client at high risk for osteoporosis about dietary measures she can take to increase her calcium level. Which of the following foods should the nurse advise the client to increase in her diet?
Correct Answer: B
Rationale: Broccoli is rich in calcium, which is crucial for bone health and osteoporosis prevention.
Question 3 of 5
A nurse is monitoring a client who has acute kidney injury. Which of the following laboratory findings should the nurse expect?
Correct Answer: B
Rationale: AKI leads to impaired renal filtration, causing elevated blood urea nitrogen (BUN) and creatinine levels due to the accumulation of nitrogenous waste.
Question 4 of 5
A nurse is preparing to obtain a 24-hr urine collection from a client. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Refrigerating the urine prevents bacterial growth and chemical breakdown, ensuring accurate lab results.
Extract:
Diagnostic Results
Nurses' Notes
Vital Signs
1230:
Right wrist x-ray indicates non-displaced distal radius fracture
Question 5 of 5
The client is at risk for developing [Dropdown Group 1] and [Dropdown Group 2].
Correct Answer: A,E
Rationale: Opioid-induced respiratory depression can cause respiratory acidosis, and IV therapy increases the risk of phlebitis.