ATI RN
ATI Nur201 FA2 Med Surg 2 Exam Questions
Extract:
Question 1 of 5
The nurse in the medical ICU suspects that the client is experiencing a thyroid storm. Which clinical manifestations should the nurse anticipate?
Correct Answer: D
Rationale: High fever, severe tachycardia, and hypertension are classic manifestations of thyroid storm, reflecting severe hyperthyroidism.
Question 2 of 5
A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which manifestations of peritonitis?
Correct Answer: C
Rationale: Abdominal tenderness/pain is a key manifestation of peritonitis, indicating inflammation of the peritoneum.
Question 3 of 5
The nurse identifies the client exhibiting supraventricular tachycardia and calls the provider. Several orders are given. For which of the following orders would the nurse request further clarification? (Select all that apply)
Correct Answer: A,B,D
Rationale: Defibrillation is not typically indicated for SVT unless the patient is unresponsive, Cardizem is not given subcutaneously, and Adenosine is not administered orally. These orders require clarification.
Question 4 of 5
A nurse in the med-surgical ICU is assessing a client in the oliguric phase of acute kidney injury. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Hyperkalemia is a common finding in the oliguric phase of acute kidney injury due to reduced excretion of potassium by the kidneys. This electrolyte imbalance can have serious cardiac effects and should be expected and monitored in these patients.
Question 5 of 5
The nursing student is asked by the preceptor what are the expected findings of the Rinne test. What statement by the nursing student is correct?
Correct Answer: D
Rationale: The Rinne test compares air conduction (next to the ear) with bone conduction (on the mastoid process). Normally, air conduction is heard longer than bone conduction.