ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
When a client is using a cooling blanket to reduce fever, which finding indicates the need to change treatment?
Correct Answer: B
Rationale: Shivering counteracts the cooling effect of the blanket, increasing body temperature and metabolic demand. This indicates the treatment is ineffective and needs adjustment.
Question 2 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.
Question 3 of 5
The client has just returned from OR with respirations of 8 per minute. What set of ABG's would the nurse expect to see?
Correct Answer: B
Rationale: Hypoventilation (8 breaths/min) causes COâ‚‚ retention, leading to respiratory acidosis (low pH, high PaCO2).
Question 4 of 5
Which intervention does the nurse utilize post-operatively to assess the patency of the arteriovenous fistula?
Correct Answer: B
Rationale: A functional AV fistula should have a palpable thrill (vibration) and an audible bruit (whooshing sound) when auscultated with a stethoscope. These findings confirm adequate blood flow and patency.
Question 5 of 5
The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients. Which intervention should the nurse perform?
Correct Answer: B
Rationale: Client education on fluid restrictions is a nursing responsibility and cannot be delegated.