ATI RN
ATI Med Surg Exam 10 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is admitted with hyperthyroidism. The client reports a weight loss of 5.4 kg (12 lb) in the last 2 months, increased appetite, increased perspiration, fatigue, menstrual irregularity, and restlessness. Which of the following actions should the nurse take to prevent a thyroid crisis?
Correct Answer: B
Rationale: A calm environment can help prevent exacerbation of symptoms and reduce the risk of a thyroid crisis in hyperthyroid clients.
Question 2 of 5
A nurse is caring for a client who has nephrotic syndrome and is receiving high-dose corticosteroid therapy. For which of the following electrolyte imbalances should the nurse monitor?
Correct Answer: B
Rationale: Corticosteroid therapy can lead to increased urinary potassium loss and subsequent hypokalemia.
Question 3 of 5
A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?
Correct Answer: D
Rationale: This statement indicates possible hematuria (blood in the urine) and pain, which could be indicative of a urinary tract issue related to the kidney stones and requires reporting to the provider for further assessment and management.
Question 4 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.
Question 5 of 5
A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should identify which of the following findings as an indication that the medication is effective?
Correct Answer: C
Rationale: Vasopressin, also known as antidiuretic hormone (ADH), acts on the kidneys to decrease urine output, making this the expected outcome of therapy.