ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
The nurse is preparing the discharge teaching plan for a client with a kidney transplant. Which statement indicates the teaching is effective?
Correct Answer: C
Rationale: Fever >101°F (38.3°
C) is an early sign of infection or organ rejection. Prompt medical attention is required.
Question 2 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 3 of 5
The client with chronic renal failure is scheduled for hemodialysis at 9 am. They are scheduled to receive oral daily medications. Which statement best describes when the nurse should administer the medications?
Correct Answer: C
Rationale: Medications should be given after dialysis to prevent removal during the procedure.
Question 4 of 5
A nurse is monitoring a client who has acute kidney injury. Which of the following laboratory findings should the nurse expect?
Correct Answer: B
Rationale: AKI leads to impaired renal filtration, causing elevated blood urea nitrogen (BUN) and creatinine levels due to the accumulation of nitrogenous waste.
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.