ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
The client's potassium level is 2.2 What nursing action has the highest priority?
Correct Answer: C
Rationale: A potassium level of 2.2 mEq/L is critically low, increasing the risk of life-threatening cardiac arrhythmias. Continuous cardiac monitoring helps detect dangerous dysrhythmias like ventricular tachycardia.
Question 2 of 5
What type of electrolyte imbalance would most likely occur following the administration of three tap water enemas?
Correct Answer: A
Rationale: Tap water enemas can cause potassium loss via stool and dilutional effects, leading to hypokalemia.
Question 3 of 5
A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Serum creatinine is a key indicator of kidney function, showing how well kidneys filter waste.
Question 4 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.
Question 5 of 5
The nurse is preparing the discharge teaching plan for a client with a kidney transplant. Which statement indicates the teaching is effective?
Correct Answer: C
Rationale: Fever >101°F (38.3°
C) is an early sign of infection or organ rejection. Prompt medical attention is required.