ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
What type of electrolyte imbalance would most likely occur following the administration of three tap water enemas?
Correct Answer: A
Rationale: Tap water enemas can cause potassium loss via stool and dilutional effects, leading to hypokalemia.
Extract:
Diagnostic Results
Nurses' Notes
Vital Signs
1230:
Right wrist x-ray indicates non-displaced distal radius fracture
Question 2 of 5
The client is at risk for developing [Dropdown Group 1] and [Dropdown Group 2].
Correct Answer: A,E
Rationale: Opioid-induced respiratory depression can cause respiratory acidosis, and IV therapy increases the risk of phlebitis.
Extract:
Question 3 of 5
A client is in a motor vehicle accident with severe thoracic trauma. Which acid-base imbalance is most likely to develop?
Correct Answer: D
Rationale: Severe thoracic trauma impairs lung expansion, leading to hypoventilation and COâ‚‚ retention, causing respiratory acidosis.
Extract:
Medical history
Nursing notes
Vitals signs
Diagnostic testing
44-year-old male reports "not feeling well for the past 3 days. The client reports decreased appetite and generalized abdominal pain with nausea. Client denies any vomiting or diarrhea, the client has a history of Stage IV Chronic Kidney Disease, hypertension, diabetes mellitus, and neuropathy. The client currently completed Continuous Ambulatory Peritoneal Dialysis four times a day. Client lives alone and has 4 cats and is non- compliant with health care visits and follow-ups.
Question 4 of 5
Select the top 5 client findings that require immediate follow-up
| Abdomen rigid with decreased bowel sounds |
| Glucose 220mg/d |
| No dialysis for 24 hours |
| Crackles throughout the lungs |
| WBC 17,000 mm3 |
| Hemoglobin 10g/dL |
| Potassium 7mEq/L |
Correct Answer: A,C,D,E,G
Rationale: A rigid, tender abdomen suggests peritonitis, a life-threatening complication of peritoneal dialysis. Missing dialysis leads to toxin accumulation, hyperkalemia, and fluid overload. Crackles indicate pulmonary edema, requiring intervention to prevent respiratory failure. Leukocytosis suggests infection, possibly peritonitis. Severe hyperkalemia risks life-threatening cardiac arrhythmias.
Extract:
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.