ATI RN
ATI Nur 221 Med Surg unit 4 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: 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.
Question 2 of 5
A nurse is caring for a client who has metabolic alkalosis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Metabolic alkalosis can cause neuromuscular excitability, increasing the risk of seizures.
Question 3 of 5
A nurse is caring for a client who had a total thyroidectomy and a low serum calcium level of 7.4 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hypocalcemia can occur after a total thyroidectomy due to accidental removal or damage to the parathyroid glands. Neuromuscular excitability, including paresthesia (numbness and tingling), tetany, and muscle spasms, are classic signs.
Question 4 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.
Question 5 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.