ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
The client receiving hemodialysis is complaining of being dizzy and light-headed. Which action should the nurse implement first?
Correct Answer: A
Rationale: Dizziness and lightheadedness during dialysis suggest hypotension, a common complication. The nurse should first assess vital signs to determine the severity before taking further action.
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
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 4 of 5
Which intervention does the nurse utilize post-operatively to assess the patency of the arteriovenous fistula?
Correct Answer: B
Rationale: A functional AV fistula should have a palpable thrill (vibration) and an audible bruit (whooshing sound) when auscultated with a stethoscope. These findings confirm adequate blood flow and patency.
Question 5 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.