ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
The nurse is reviewing the client's following arterial blood gases: pH 7.33, PaCo2 47, HCO3 24. Which manifestation would the nurse expect the client to be experiencing with this imbalance?
Correct Answer: A
Rationale: Respiratory acidosis (low pH, high PaCO2) causes confusion due to decreased brain oxygenation.
Question 2 of 5
A nurse is teaching a client at high risk for osteoporosis about dietary measures she can take to increase her calcium level. Which of the following foods should the nurse advise the client to increase in her diet?
Correct Answer: B
Rationale: Broccoli is rich in calcium, which is crucial for bone health and osteoporosis prevention.
Question 3 of 5
The emergency room nurse is providing discharge teaching to a client diagnosed with heat exhaustion. Which of the following statements would require further teaching?
Correct Answer: D
Rationale: While water helps with rehydration, it does not replace lost sodium. Excessive water intake without electrolytes can cause hyponatremia.
Question 4 of 5
What medication would the nurse prepare to give to reduce shivering in a hyperthermic client?
Correct Answer: D
Rationale: Shivering increases metabolic demand and body temperature. Diazepam (a benzodiazepine) is a muscle relaxant that helps control shivering in hyperthermic clients.
Question 5 of 5
The client's potassium level is 2.2 What nursing action has the highest priority?
Correct Answer: C
Rationale: A potassium level of 2.2 mEq/L is critically low, increasing the risk of life-threatening cardiac arrhythmias. Continuous cardiac monitoring helps detect dangerous dysrhythmias like ventricular tachycardia.