ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
The client is vomiting and very dehydrated. Which medication would be most effective in treating the nausea and vomiting?
Correct Answer: D
Rationale: Ondansetron (Zofran) is a serotonin (5-HT3) receptor antagonist that is highly effective for nausea and vomiting, especially in dehydration and severe vomiting.
Question 2 of 5
The nurse is looking at a set of ABG's and notices a bicarbonate level of 30. What other change would the nurse expect to see in their lab values?
Correct Answer: A
Rationale: Metabolic alkalosis is often associated with hypochloremia, especially when caused by vomiting or diuretics.
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 3 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 4 of 5
The nurse is developing a plan of care for a client diagnosed with acute renal failure (ARF). Which statement would be an appropriate outcome for the client?
Correct Answer: A
Rationale: Restoring normal electrolyte balance is a key goal in ARF management.
Question 5 of 5
When a client is using a cooling blanket to reduce fever, which finding indicates the need to change treatment?
Correct Answer: B
Rationale: Shivering counteracts the cooling effect of the blanket, increasing body temperature and metabolic demand. This indicates the treatment is ineffective and needs adjustment.