ATI RN
ATI Med Surg Exam 10 Questions
Question 1 of 5
A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?
Correct Answer: A
Rationale: A urine output of 175 ml over 8 hours indicates oliguria, which can be concerning in a client with impaired renal function. It suggests decreased kidney function and inadequate elimination of waste products and fluids, necessitating prompt notification of the healthcare provider.
Question 2 of 5
A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. Which of the following laboratory values should the nurse anticipate an elevation of?
Correct Answer: D
Rationale: In primary hypothyroidism, the thyroid gland fails to produce sufficient thyroid hormone. Consequently, the anterior pituitary gland releases more TSH to stimulate the thyroid gland, leading to elevated TSH levels.
Question 3 of 5
A nurse is assessing a client who has chronic kidney disease. Which of the following findings is a manifestation of hyperkalemia?
Correct Answer: B
Rationale: Hyperkalemia can lead to neuromuscular manifestations, including decreased deep tendon reflexes due to suppression of neuromuscular excitability.
Question 4 of 5
A nurse is assessing a client who had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate?
Correct Answer: B
Rationale: SIADH causes the kidneys to retain water, leading to decreased urine output (oliguria) and concentrated urine due to excessive secretion of antidiuretic hormone (ADH).
Question 5 of 5
A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?
Correct Answer: D
Rationale: Fluid restriction is a key component of managing SIADH to prevent further water retention and dilutional hyponatremia. Restricting fluid intake helps to normalize serum sodium levels by allowing excess water to be excreted.