ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
The nurse is providing education to the client with a new arteriovenous fistula and the client asks 'when I touch my fistula feel it vibrate, what does that mean?' What statement by the nurse is the correct way to answer the client's question?
Correct Answer: D
Rationale: A thrill (vibration) indicates adequate blood flow and a patent AV fistula.
Question 2 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 3 of 5
The client is vomiting and very dehydrated. Which medication would be most effective in treating the nausea and vomiting?
Correct Answer: D
Rationale: Ondansetron (Zofran) is a serotonin (5-HT3) receptor antagonist that is highly effective for nausea and vomiting, especially in dehydration and severe vomiting.
Question 4 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 5 of 5
The nurse is caring for a client who has chronic renal disease and is receiving therapy with erythropoietin (epoetin alpha). Which of the following laboratory results should the nurse review as an indication of a therapeutic effect of this medication?
Correct Answer: B
Rationale: Erythropoietin stimulates red blood cell production, increasing hemoglobin levels in clients with CKD-related anemia.