ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a fluid volume deficit. The nurse should expect which of the following findings?
Correct Answer: B
Rationale: Increased BUN is expected in fluid volume deficit due to decreased renal perfusion, leading to higher solute concentration. Hemoglobin may appear elevated due to hemoconcentration, not decreased. Urine ketones relate to ketoacidosis or starvation, not fluid deficit. Urine specific gravity increases as the body conserves water, not decreases.
Question 2 of 5
A nurse is educating a client who has osteoarthritis of the knee. Which of the following explanations should the nurse give to the client as part of the disease process?
Correct Answer: A
Rationale: Osteoarthritis involves progressive cartilage and bone damage, a key aspect of the disease process.
Question 3 of 5
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL before the client's breakfast. Which of the following actions is the nurse's priority?
Correct Answer: A
Rationale: Monitoring for hypoglycemia is the priority due to the risk of low blood sugar from the incorrect insulin dose.
Question 4 of 5
A nurse is providing care for an older adult client who has diabetes insipidus (DI). The nurse should monitor the client for which of the following neurological effects?
Correct Answer: C
Rationale: Ataxia, which is a lack of muscle coordination affecting speech, eye movements, the ability to swallow, walking, picking up objects, and other voluntary movements, can be a neurological effect of DI if severe dehydration and electrolyte imbalance affect the brain. Symptoms such as confusion and muscle cramps can also be associated with ataxia, making it a relevant neurological effect to monitor in a client with DI.
Question 5 of 5
A nurse is caring for a client with a chronic wound. Which of the following is a systemic cause of chronic wounds?
Correct Answer: B
Rationale: Malnutrition is indeed a systemic cause of chronic wounds. Adequate nutrition is essential for wound healing, as it provides the necessary proteins, vitamins, and minerals that play a crucial role in the repair process. Protein-energy malnutrition, deficiencies in vitamins C and D, zinc, and other nutrients can impair wound healing and lead to chronic wounds.