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ATI Med Surg Exam 10 Questions

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Question 1 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 2 of 5

A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: Tingling of the extremities is a common symptom of hypocalcemia.

Question 3 of 5

Anna's mother has been suffering from persistent vomiting for two days now. She appears to be lethargic and weak and has myalgia. She is noted to have dry mucus membranes and her capillary refill takes >4 seconds. She is diagnosed as having gastroenteritis and dehydration. Measurement of arterial blood gas shows pH 7.5, PaO2 85 mm Hg, PaCO2 40 mm Hg, and HCO3 34 mmol/L. What acid-base disorder is shown?

Correct Answer: B

Rationale: The elevated pH (7.5) and HCO3 (34 mmol/L) indicate metabolic alkalosis. The slightly elevated PaCO2 (40 mm Hg) suggests partial respiratory compensation attempting to correct the alkalosis.

Question 4 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.

Question 5 of 5

A nurse is caring for a client who has end-stage renal disease (ESRD). Which of the following are expected findings? (Select all that apply).

Correct Answer: A,B,D

Rationale: Bone pain occurs due to mineral and bone disorders, slurred speech can indicate uremic encephalopathy, and pruritus is common due to uremic toxins in ESRD.

Similar Questions

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi?
A nurse is planning care for a client who has a new diagnosis of diabetes insipidus. Which of the following interventions should the nurse include in the plan of care?
Maria, an elementary student, was rushed to the hospital due to vomiting and a decreased level of consciousness. The patient displays slow and deep (Kussmaul breathing), and he is lethargic and irritable in response to stimulation. He appears to be dehydrated-his eyes are sunken and mucous membranes are dry-and he has a two-week history of polydipsia, polyuria, and weight loss. Measurement of arterial blood gas shows pH 7.0, PaO2 90 mm Hg, PaCO2 23 mm Hg, and HCO3 12 mmol/L; other results are Na+ 126 mmol/L, K+ 5 mmol/L, and Cl-95 mmol/L. What is your assessment?
Which of the following chronic conditions should the nurse identify as risk factors for developing kidney disease?
Mrs. Jamerson, who had undergone surgery in the post-anesthesia care unit (PACU), is difficult to arouse two hours following surgery. Nurse Williams in the PACU has been administering Morphine Sulfate intravenously to the client for complaints of post-surgical pain. The client's respiratory rate is 7 per minute and demonstrates shallow breathing. The patient does not respond to any stimuli. The nurse assesses the ABCs (remember Airway, Breathing, Circulation!) and obtains ABGS STAT! Arterial blood gas measurement shows pH 7.10, PaCO2 70 mm Hg, and HCO3 24 mEq/L. What does this mean?

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