ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 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 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
What happens when a hypertonic IV solution is administered to a client?
Correct Answer: B
Rationale: Hypertonic solutions have higher osmolarity than blood, pulling fluid from cells into the intravascular space, increasing blood volume.
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 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.