ATI RN
ATI Nsg 234 Med Surg Exam Neurologyendocrine And Sensory Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who is demonstrating signs of increasing intracranial pressure (ICP). The nurse recognizes that which nursing actions are indicated to decrease ICP?
Correct Answer: A,C,D
Rationale: Elevating the head of the bed, maintaining a calm environment, and administering morphine sulfate help reduce ICP by facilitating venous drainage, minimizing stimulation, and controlling pain, respectively.
Question 3 of 5
A nurse is reviewing the medical record of a client who has been prescribed levothyroxine for several months. Which of the following findings indicates a therapeutic response to the medication?
Correct Answer: C
Rationale: Decreased thyroid-stimulating hormone (TSH) levels indicate that the body is responding well to levothyroxine, as TSH production decreases when thyroid hormone levels are adequate.
Question 4 of 5
A client is admitted for treatment of the Syndrome of Inappropriate Antidiuretic Hormone (SIADH). The nurse should initiate which of the following interventions?
Correct Answer: A
Rationale: In SIADH, excess ADH causes water retention and hyponatremia; fluid restriction helps to prevent further dilution of sodium and manage fluid balance.
Question 5 of 5
A nurse is caring for a client who had a brain tumor and chemotherapy as an infant. The assessment reveals short stature and delayed onset of menarche. The nurse recognizes the assessed problems are most likely caused by which of the following?
Correct Answer: B
Rationale: Impaired production of GH is most likely the cause of short stature, as growth hormone plays a critical role in growth and development during childhood.