ATI RN
ATI Nur 221 Med Surg unit 4 Exam Questions
Extract:
Question 1 of 5
Which of the following manifestations are commonly seen in an end stage renal disease patient with fluid overload?
Correct Answer: D
Rationale: Fluid overload causes peripheral and pulmonary edema due to impaired kidney function.
Question 2 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 3 of 5
The client receiving hemodialysis is complaining of being dizzy and light-headed. Which action should the nurse implement first?
Correct Answer: A
Rationale: Dizziness and lightheadedness during dialysis suggest hypotension, a common complication. The nurse should first assess vital signs to determine the severity before taking further action.
Question 4 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 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.