ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client diagnosed with acute renal failure and has a potassium level of 8.3 mEq/L. What collaborative intervention would be a priority for this client?
Correct Answer: A
Rationale: A potassium level of 8.3 mEq/L is critically high, putting the client at immediate risk for life-threatening cardiac arrhythmias. Emergency dialysis is needed to remove excess potassium.
Question 2 of 5
What is the rational for administering calcium carbonate to a client with chronic renal failure?
Correct Answer: D
Rationale: Calcium carbonate is a phosphate binder that reduces phosphorus absorption from food, addressing hyperphosphatemia in chronic renal failure.
Question 3 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 4 of 5
A nurse is caring for a client who has hyperkalemia and is to receive intravenous insulin. Which of the following should the nurse recognize as an adverse outcome?
Correct Answer: B
Rationale: IV insulin can cause hypoglycemia (glucose <70 mg/dL), an adverse effect of treatment.
Question 5 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.