ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients. Which intervention should the nurse perform?
Correct Answer: B
Rationale: Client education on fluid restrictions is a nursing responsibility and cannot be delegated.
Question 2 of 5
A client is in a motor vehicle accident with severe thoracic trauma. Which acid-base imbalance is most likely to develop?
Correct Answer: D
Rationale: Severe thoracic trauma impairs lung expansion, leading to hypoventilation and COâ‚‚ retention, causing respiratory acidosis.
Question 3 of 5
A nurse is caring for a client with the following Arterial Blood Gases (ABG) pH 7.48, PaCO2 53, and HCO3 31. How would these be interpreted?
Correct Answer: B
Rationale: High pH and elevated HCO3 indicate metabolic alkalosis, with high PaCO2 showing partial respiratory compensation.
Question 4 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 5 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.