ATI MED SURG VERSION 6 EXAM QUESTIONS AND ANSWERS

ATI MED SURG VERSION 6 EXAM QUESTIONS AND ANSWERS

What is hypokalemia's effect on the GI system? - ANSWERIt decreases
smooth muscle contraction leading to decreased peristalsis and
hypoactive bowel sounds.
Deep tendon reflexes in hypomagnesemia - ANSWERincreased e.g. 4+
Deep tendon reflexes in hypermagnesemia - ANSWERdecreased e.g.
absent or 1+
What should be done if you are performing a cardiac assessment on a
client and you hear a murmur? - ANSWERListen with the client on their
left side so it can be heard more clearly
A nurse is caring for a client who has emphysema and is receiving
mechanical ventilation. The client appears anxious and restless, and the
high-pressure alarm is sounding. Which of the following actions should
the nurse take first?
A. Obtain ABGs.
B. Administer propofol to the client.
C. Instruct the client to allow the machine to breathe for them.
D. Disconnect the machine and manually ventilate the client. -
ANSWERC. Instruct the client to allow the machine to breathe for them.
When providing client care, the nurse should first use the least
restrictive intervention. Therefore, the first action the nurse should
take is to provide verbal instructions and emotional support to help the
client relax and allow the ventilator to work. Clients can exhibit anxiety
and restlessness when trying to "fight the ventilator."
A nurse is caring for a client who has a potassium level of 3. Which of
the following assessment findings should the nurse expect?
A. Positive Trousseau's sign
B. 4+ deep tendon reflexes
C. Deep respirations
D. Hypoactive bowel sounds - ANSWERD. Hypoactive bowel sounds
Deep tendon reflexes are used to monitor what electrolyte level? -
ANSWERmagnesium
What kind of respirations occur with hypokalemia and why? -
ANSWERshallow respirations due to respiratory muscle weakness
Trosseau's sign evaluates for what electrolyte imbalances? -
ANSWERhypocalcelmia and hypomagnesemia
A nurse is conducting an admission history for a client who is to
undergo a CT scan with an IV contrast agent. The nurse should identify
that which of the following findings requires further assessment?
A. History of asthma
B. Appendectomy 1 year ago
C. Penicillin allergy
D. Total knee arthroplasty 6 months ago - ANSWERA. History of asthma
A client who has a history of asthma has a greater risk of reacting to the
contrast dye used during the procedure. Other conditions that can
result in a reaction to contrast media include allergies to foods, such as
shellfish, eggs, milk, and chocolate.
What are conditions that may cause a reaction to contrast media?
Patients with these conditions require further screening before a
procedure with IV contrast. - ANSWERhistory of asthma and allergies to
shellfish, eggs, milk, and chocolate
What drugs would warrant further screening for increased risk of renal
damage in someone getting a procedure with IV contrast? -
ANSWERaminoglycosides, NSAIDs, metformin