ATI RN
clinical skills questions Questions
Question 1 of 5
The removal of plasma water and some low–molecular weight particles by using a pressure or osmotic gradient is known as
Correct Answer: D
Rationale: The correct answer is D: ultrafiltration. Ultrafiltration involves the removal of plasma water and low-molecular weight particles using a pressure or osmotic gradient. This process allows small molecules to pass through a semipermeable membrane while retaining larger molecules. Dialysis (
A) involves the removal of waste products and excess fluids from the blood, while diffusion (
B) is the movement of molecules from an area of high concentration to low concentration. Clearance (
C) refers to the rate at which a substance is removed from the blood by a specific organ or process. Ultrafiltration specifically targets the removal of plasma water and low-molecular weight particles through a pressure or osmotic gradient, making it the correct choice in this context.
Question 2 of 5
An individual with type 2 diabetes who takes glipizide has begun a formal exercise program at a local gym. While exercising on the treadmill, the individual becomes pale, diaphoretic, shaky, and has a headache. The individual feels as though she is going to pass out. What is the individual’s priority action?
Correct Answer: B
Rationale: The correct answer is B: Eat something with 15 g of simple carbohydrates. In this scenario, the individual is exhibiting signs of hypoglycemia due to the combination of glipizide (which can lower blood sugar) and exercise. The priority action is to raise blood sugar levels quickly to prevent further complications. Consuming simple carbohydrates, like glucose tablets or juice, will rapidly increase blood sugar levels. This is crucial to prevent the individual from passing out or experiencing more serious consequences.
Choice A is incorrect because while hydration is important, it is not the immediate priority in this situation.
Choice C is incorrect as going to the first-aid station may waste valuable time when immediate action is needed.
Choice D is incorrect as taking another dose of the oral agent can further lower blood sugar levels and worsen the hypoglycemia.
Question 3 of 5
What psychosocial factors may potentially contribute to the development of diabetic ketoacidosis? (Select all that apply.)
Correct Answer: A
Rationale: Rationale for correct answer A: Altered sleep/rest patterns can disrupt insulin regulation, leading to glucose imbalance and predisposing to diabetic ketoacidosis. Lack of sleep affects hormones that regulate blood sugar levels, increasing the risk of DKA.
Summary of why other choices are incorrect:
B: Eating disorder can affect blood sugar control but is not a direct cause of DKA.
C: Exposure to influenza may trigger stress on the body but is not a psychosocial factor contributing to DKA.
D: High levels of stress can impact blood sugar levels but are not specific psychosocial factors leading to DKA.
Question 4 of 5
The most common reasons for initiating dialysis in acute kidney injury include which of the following? (Select all that apply.)
Correct Answer: A
Rationale: Explanation:
A: Acidosis is a common reason to initiate dialysis in acute kidney injury due to impaired acid-base balance.
B: Hypokalemia is not a common reason for initiating dialysis in acute kidney injury.
C: Volume overload may require dialysis but is not as common as acidosis.
D: Hyperkalemia is a valid reason for dialysis but not as common as acidosis in acute kidney injury.
Question 5 of 5
The patient undergoes a cardiac catheterization that requires the use of contrast dyes during the procedure. To detect signs of contrast-induced kidney injury, the nurse should
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. Contrast dyes can cause kidney injury due to their nephrotoxic effects.
2. Serum creatinine levels are a reliable indicator of kidney function.
3. Evaluating serum creatinine for up to 72 hours after the procedure allows detection of any contrast-induced kidney injury.
4. Monitoring serum creatinine helps in early identification and intervention for renal complications.
Summary:
A: Incorrect. Urine output alone is not a definitive indicator of kidney injury.
C: Incorrect. Renal ultrasound is not typically used for detecting contrast-induced kidney injury.
D: Incorrect. Postvoid residual volume is not specific for contrast-induced kidney injury.
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