ATI RN
ATI Nsg 234 Med Surg Exam Neurologyendocrine And Sensory Questions
Question 1 of 5
A nurse is providing education regarding the adrenal cortex production of mineralocorticoids. The nurse should include that mineralocorticoids influence which of the following?
Correct Answer: B
Rationale: Mineralocorticoids, such as aldosterone, play a crucial role in regulating fluid and electrolyte balance by promoting sodium retention and potassium excretion in the kidneys.
Question 2 of 5
A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed-head injury. Which of the following positioning techniques should the nurse implement?
Correct Answer: C
Rationale: Log rolling helps maintain spinal alignment and minimizes abrupt head movement, which is essential in managing ICP.
Question 3 of 5
A nurse is assessing a client diagnosed with diabetes insipidus. The nurse should expect which of the following assessment findings?
Correct Answer: C
Rationale: Urine specific gravity of 1.002 indicates dilute urine, which is consistent with diabetes insipidus, where the body fails to concentrate urine due to insufficient antidiuretic hormone (ADH).
Question 4 of 5
A nurse is performing a tonometry test on a client with a suspected diagnosis of glaucoma. The nurse looks at the documented test results and notes an intraocular pressure (IOP) value of 23 mm Hg. What should the nurse's initial action be?
Correct Answer: D
Rationale: An IOP of 23 mm Hg is above the normal range (10-21 mm Hg) and indicates potential glaucoma.
Therefore, contacting the primary health care provider for further evaluation and treatment is the most appropriate initial action.
Question 5 of 5
A nurse is caring for a client who is experiencing Cushing's Triad following a depressed skull fracture. In addition to administering appropriate medications, which of the following nursing interventions should the nurse prioritize for this client?
Correct Answer: D
Rationale: Monitoring ICP is crucial in this situation, as Cushing's Triad indicates a potential increase in ICP, and timely interventions can prevent further complications.