ATI RN
ATI Capstone Medical Surgical Assessment 1 Quizlet Questions
Question 1 of 5
A patient diagnosed with hypokalemia is at risk for which condition?
Correct Answer: A
Rationale: Patients diagnosed with hypokalemia are at risk for cardiac dysrhythmias due to low potassium levels. Hypokalemia can lead to abnormalities in the electrical conduction system of the heart, potentially causing irregular heart rhythms. Muscle weakness (
Choice
B) is a symptom commonly associated with hypokalemia, but the question asks about conditions the patient is at risk for, not specific symptoms. Seizures (
Choice
C) are not typically associated with hypokalemia; they are more commonly linked with conditions such as epilepsy. Bradycardia (
Choice
D) refers to a slow heart rate, which is not a typical risk associated with hypokalemia; instead, tachycardia (fast heart rate) is more commonly observed in patients with low potassium levels.
Question 2 of 5
What is the priority action if a patient experiences abdominal cramping during enema administration?
Correct Answer: A
Rationale: During enema administration, if a patient experiences abdominal cramping, the priority action is to lower the height of the solution container. This adjustment can help relieve abdominal cramping by reducing the flow rate of the enema, making it more comfortable for the patient. Increasing the flow of the enema solution (
Choice
B) can exacerbate the cramping. Stopping the procedure and removing the tubing (
Choice
C) may be necessary in some cases of severe discomfort or complications, but adjusting the height of the solution container should be the initial response. Continuing the enema at a slower rate (
Choice
D) may not address the immediate need to alleviate the cramping.
Question 3 of 5
What signs indicate increased intracranial pressure (IICP)?
Correct Answer: A
Rationale: Restlessness, irritability, and confusion are early signs of increased intracranial pressure (IICP). These symptoms occur due to the brain's increased pressure within the skull. Sudden onset of seizures (
Choice
B) is not typically associated with increased intracranial pressure. Bradycardia and altered pupil response (
Choice
C) are signs of advanced or worsening IICP. Loss of consciousness (
Choice
D) is a late sign of increased intracranial pressure.
Question 4 of 5
A nurse administers insulin for a misread glucose level. What should the nurse monitor for?
Correct Answer: A
Rationale: When a nurse administers insulin for a misread glucose level, they should monitor for hypoglycemia. Insulin lowers blood sugar levels, so the patient may experience hypoglycemia if given insulin unnecessarily. Monitoring for hypoglycemia involves observing for symptoms such as shakiness, sweating, dizziness, confusion, and palpitations.
Choices B and C are incorrect because administering insulin for a misread glucose level would lower blood sugar levels, resulting in hypoglycemia, not hyperglycemia or hyperkalemia.
Choice D is not the immediate priority; the focus should be on patient safety and monitoring for potential adverse effects of the unnecessary insulin.
Question 5 of 5
What should be monitored in a patient with diabetes insipidus?
Correct Answer: A
Rationale: In a patient with diabetes insipidus, monitoring urine specific gravity for values below 1.005 is crucial. Low urine specific gravity indicates excessive water loss, a key characteristic of diabetes insipidus. Monitoring for increased thirst (choice
B) may be a symptom presented by the patient, but it does not directly reflect the condition's severity. Monitoring serum albumin levels (choice
C) is not typically associated with diabetes insipidus. Monitoring blood pressure closely (choice
D) is not a primary concern in diabetes insipidus unless severe dehydration leads to hypotension.