ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The healthcare provider has ordered captopril for the client diagnosed with congestive heart failure. Which discharge instruction should the nurse include?
Correct Answer: A
Rationale: Captopril lowers blood pressure, risking orthostatic hypotension; teaching posture changes prevents falls. Food reduces absorption , cough suppressants are inappropriate, and high-potassium foods risk hyperkalemia.
Question 2 of 5
The nurse is caring for a client with suspected liver cancer and is providing education related to a needle biopsy procedure. Which of the following statements by the client would require further teaching?
Correct Answer: B
Rationale: Lying on the right side, not left, applies pressure to the liver biopsy site to prevent bleeding. Bedrest , stopping warfarin , and diagnosing cancer are correct.
Question 3 of 5
The nurse is educating a client on hyperparathyroidism. Which of the following statements would require further teaching?
Correct Answer: D
Rationale: Fluid restriction (1,000 mL) worsens hypercalcemia; increased fluids dilute calcium. Fiber , furosemide , and parathyroidectomy are correct.
Question 4 of 5
Which of the following manifestations may indicate that a client has systemic lupus erythematosus (SLE)? (Select all that apply)
Correct Answer: A,B,D
Rationale: Butterfly rash , pleural effusions , and pericarditis are SLE manifestations from immune inflammation. Ammonia levels relate to liver failure, and varices to cirrhosis, not SLE.
Question 5 of 5
A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, I don't need this medication. I am not constipated. The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?
Correct Answer: B
Rationale: Lactulose traps ammonia in the gut, reducing toxic levels causing hepatic encephalopathy in cirrhosis. It doesn't lower glucose , potassium , or bicarbonate .