ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
The emergency room nurse is providing discharge teaching to a client diagnosed with heat exhaustion. Which of the following statements would require further teaching?
Correct Answer: D
Rationale: While water helps with rehydration, it does not replace lost sodium. Excessive water intake without electrolytes can cause hyponatremia.
Question 2 of 5
The nurse is teaching the client with hypernatremia about dietary restrictions. Which foods would the nurse tell them to avoid?
Correct Answer: B
Rationale: Cheese, lunch meats, and canned vegetables are high in sodium, worsening hypernatremia.
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 emergency room nurse is providing discharge teaching to a client diagnosed with heat exhaustion. Which of the following statements would require further teaching?
Correct Answer: D
Rationale: While water helps with rehydration, it does not replace lost sodium. Excessive water intake without electrolytes can cause hyponatremia.
Question 5 of 5
The nurse is calculating the output of a client at the end of the shift. The nurse notes the following: the client voided 400 mL at 1100 and 350 at 1415. The chest tube was previously marked at 155 mL and is now 175 mL. The nasogastric tube has 575 mL in the drainage container and the Jackson Pratt drain had 25 mL emptied from it. How many ml's should the nurse record as output for the shift
Correct Answer: A
Rationale:
Total output is calculated as: Urine (400 mL + 350 mL = 750 mL) + Chest tube (175 mL - 155 mL = 20 mL) + Nasogastric tube (575 mL) + Jackson-Pratt drain (25 mL) = 1,370 mL.