ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 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.
Question 2 of 5
The client receiving hemodialysis is complaining of being dizzy and light-headed. Which action should the nurse implement first?
Correct Answer: A
Rationale: Dizziness and lightheadedness during dialysis suggest hypotension, a common complication. The nurse should first assess vital signs to determine the severity before taking further action.
Question 3 of 5
A nurse is caring for a client with the following Arterial Blood Gases (ABG) pH 7.48, PaCO2 53, and HCO3 31. How would these be interpreted?
Correct Answer: B
Rationale: High pH and elevated HCO3 indicate metabolic alkalosis, with high PaCO2 showing partial respiratory compensation.
Question 4 of 5
The nurse notices an abnormal movement in the client's hand and wrist while taking they blood pressure. What action should the nurse take?
Correct Answer: C
Rationale: Carpopedal spasm (Trousseau's sign) during BP measurement suggests hypocalcemia. The nurse should check serum calcium levels to confirm.
Question 5 of 5
A nurse is caring for a client who will have blood sampling for a serum creatinine level and asks what this test shows. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Serum creatinine is a key indicator of kidney function, showing how well kidneys filter waste.