ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The nurse is calculating the output of a client at the end of the shift. The nurse notes the following: 4 liters of fluid were removed during hemodialysis, the Jackson Pratt drain had 20 mL emptied from it, the client voided 100 mL, and the nasogastric tube has 325 mL in the drainage canister. How many milliliters should the nurse record as output for this shift?
Correct Answer: A
Rationale:
Total output is 4000 mL (hemodialysis) + 20 mL (Jackson Pratt) + 100 mL (urine) + 325 mL (nasogastric) = 4445 mL. Other options miscalculate or omit components.
Question 2 of 5
A client is scheduled to receive peritoneal dialysis. Which of the following is the highest priority action that the nurse should perform before starting dialysis?
Correct Answer: A
Rationale: Weighing assesses fluid status, guiding dialysis goals. Fowler's is during dialysis, pain meds are secondary, and Trendelenburg is irrelevant.
Question 3 of 5
The nurse is calculating the output of a client at the end of the shift. The nurse notes the following: 4 liters of fluid were removed during hemodialysis, the Jackson Pratt drain had 20 mL emptied from it, the client voided 100 mL, and the nasogastric tube has 325 mL in the drainage canister. How many milliliters should the nurse record as output for this shift?
Correct Answer: A
Rationale:
Total output is 4000 mL (hemodialysis) + 20 mL (Jackson Pratt) + 100 mL (urine) + 325 mL (nasogastric) = 4445 mL. Other options miscalculate or omit components.
Question 4 of 5
A goiter is characterized by which of the following?
Correct Answer: B
Rationale: Goiter is thyroid enlargement, often from iodine deficiency or hyperplasia. Fever is for thyroid storm, fibrosis is vascular, and glycosaminoglycans are for myxedema.
Question 5 of 5
The nurse is caring for a client with left-sided heart failure. Which of the following symptoms correlate to this diagnosis? (Select all that apply)
Correct Answer: A,B
Rationale: Tachypnea and cough result from pulmonary edema in left-sided heart failure. Jugular vein distention and ascites indicate right-sided failure, and confusion is a late, non-specific sign.