ATI RN
ATI Med Surg Exam 10 Questions
Extract:
Question 1 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 2 of 5
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?
Correct Answer: D
Rationale: Dehydration can lead to concentrated urine, which increases the risk of crystal formation and subsequently the formation of renal calculi.
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 hypernatremia and requires IV fluid therapy due to his NPO status. Which of the following solutions should the nurse prepare to infuse for this client?
Correct Answer: A
Rationale: 0.45% sodium chloride, also known as half-normal saline, is a hypotonic solution with a lower concentration of sodium than normal serum levels. It can help to lower the sodium levels in a client with hypernatremia by diluting the excess sodium in the body.
Question 5 of 5
A nurse is assessing a client who had a craniotomy and has developed syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following manifestations should the nurse anticipate?
Correct Answer: B
Rationale: SIADH causes the kidneys to retain water, leading to decreased urine output (oliguria) and concentrated urine due to excessive secretion of antidiuretic hormone (ADH).