ATI RN
ATI Capstone Adult Medical Surgical Assessment 1 Questions
Question 1 of 5
A nurse is caring for a client with rheumatoid arthritis who has been taking prednisone. Which of the following findings should the nurse identify as an adverse effect of this medication?
Correct Answer: C
Rationale: The correct answer is C, 'Hypertension.' Prednisone, a corticosteroid, can lead to hypertension as an adverse effect. Prednisone can cause sodium retention and potassium loss, leading to increased blood pressure. Weight loss (choice
A) is not a common adverse effect of prednisone; in fact, weight gain is more common. Hypoglycemia (choice
B) is not typically associated with prednisone use; instead, hyperglycemia is a common concern. Hyperkalemia (choice
D) is also unlikely with prednisone use; instead, hypokalemia is a potential electrolyte imbalance.
Question 2 of 5
A nurse is preparing to discharge a client who has a new diagnosis of chronic kidney disease (CKD). Which of the following referrals should the nurse plan to initiate?
Correct Answer: D
Rationale: The correct answer is D: Dietary services. Referring the client to dietary services is essential for managing nutrition, including monitoring sodium, potassium, and protein intake, which are crucial aspects of managing chronic kidney disease (CK
D). Respiratory therapy (choice
A) focuses on managing respiratory conditions, which are not directly related to CKD. Hospice care (choice
B) is not appropriate for a new diagnosis of CKD as it is designed for end-of-life care. Occupational therapy (choice
C) is beneficial for improving activities of daily living but is not the priority referral for a new CKD diagnosis.
Question 3 of 5
A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and is receiving 3% sodium chloride via continuous IV. Which of the following laboratory findings should the nurse identify as an indication that the SIADH is resolving?
Correct Answer: A
Rationale: A urine specific gravity of 1.020 is within the expected reference range and indicates that the kidneys are appropriately concentrating urine, which is a sign that the syndrome of inappropriate antidiuretic hormone (SIADH) is resolving. A low sodium level (choice
B) is associated with SIADH, so a sodium level of 119 mEq/L is not indicative of resolution. BUN (choice
C) and calcium levels (choice
D) are typically not directly related to SIADH resolution.
Question 4 of 5
A nurse is assessing a client who has a sodium level of 122 mEq/L. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Corrected deep tendon reflexes occur with hyponatremia. Other manifestations of hyponatremia include headache, confusion, lethargy, fatigue, seizures, and muscle weakness. Positive Chvostek's sign is associated with hypocalcemia, hyperactive bowel sounds are not typically related to hyponatremia, and dry mucous membranes are more commonly seen with dehydration.
Question 5 of 5
A client has a right-sided pneumothorax, and a chest tube is inserted. Which finding indicates that the chest drainage system is functioning correctly?
Correct Answer: A
Rationale: In a chest drainage system, gentle bubbling in the suction chamber indicates proper functioning, showing that the system is connected and working effectively to remove air or fluid from the pleural space. Crepitus around the insertion site (
Choice
B) suggests subcutaneous emphysema, not chest tube functionality. Constant bubbling in the water seal chamber (
Choice
C) indicates an air leak. Absence of breath sounds on the right side (
Choice
D) is indicative of the pneumothorax, not the chest tube function.