ATI RN
ATI Nur 221 Med Surg Final Exam Questions
Extract:
Question 1 of 5
The nurse is caring for a client who is recovering from acute pancreatitis. The client asks the nurse when they can begin eating again. Which response by the nurse is most accurate?
Correct Answer: B
Rationale: Bowel sounds and flatus indicate gut recovery, allowing oral intake post-pancreatitis. Pain/amylase , hunger , and activity are less reliable.
Question 2 of 5
Your labs are potassium 6.4, sodium 138, and serum calcium level of 9. Which order from the healthcare provider would the nurse anticipate?
Correct Answer: C
Rationale: Kayexalate binds potassium in the gut, facilitating its excretion, effectively lowering serum levels (6.4 mEq/L) in hyperkalemia. Fluid restriction may worsen potassium concentration, neomycin is irrelevant, and sodium chloride with furosemide is less direct than Kayexalate for rapid correction.
Question 3 of 5
The nurse is caring for a client with a diagnosis of emphysema of five years. Which of the following findings should the nurse expect to see during the morning assessment? (Select all that apply)
Correct Answer: A,D,E
Rationale: Barrel chest , dyspnea , and clubbed fingers are emphysema findings from air trapping, hypoxia, and alveolar loss. Edema is late, and productive cough is for bronchitis.
Question 4 of 5
A client with chronic renal failure is asking the nurse why her hemoglobin and hematocrit counts are low. Which of the following is the nurse's best response?
Correct Answer: B
Rationale: Kidneys in chronic renal failure fail to produce erythropoietin, a hormone stimulating red blood cell production, causing anemia. Heparin prevents clotting, blood loss is minimal, and protein intake isn't the primary driver.
Question 5 of 5
The clinic nurse is reviewing the client's symptoms which include hair loss, feeling tired, always being very cold, and having constipation. Which of the following complications may arise if the patient does not receive treatment?
Correct Answer: A
Rationale: Untreated hypothyroidism progresses to myxedema, causing fatigue, cold intolerance, and constipation. Hypocalcemia is parathyroid-related, pericarditis is late, and thyroid crisis is hyperthyroid.