ATI RN
ATI Capstone Week 9 Exam Questions
Extract:
Question 1 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: B
Rationale: Restricting fluid intake to 1,000 mL/day prevents further dilution of sodium in SIADH, managing hyponatremia. Low sodium diet worsens hyponatremia, desmopressin is for diabetes insipidus, and 0.45% sodium chloride is hypotonic, potentially exacerbating the condition.
Question 2 of 5
A nurse is caring for a client who has not voided for 8 hr following the removal of an indwelling urinary catheter. Which of the following actions should be the nurse take first?
Correct Answer: C
Rationale: A bladder scan assesses for urinary retention, guiding further actions. Assisting to the bathroom, increasing fluids, or catheterizing are secondary without confirmation.
Question 3 of 5
A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?
Correct Answer: A
Rationale: Epoetin alfa stimulates red blood cell production, so increased hematocrit indicates therapeutic effect in renal disease-related anemia. ESR, leukocyte, and platelet counts are unrelated.
Question 4 of 5
A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings?
Correct Answer: B
Rationale: Weight gain is common in hypothyroidism due to slowed metabolism. Exophthalmos, diaphoresis, and palpitations are associated with hyperthyroidism.
Question 5 of 5
A nurse is caring for a child who has Addison's disease. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Cortisol replacement therapy is the primary treatment for Addison’s disease. Low-sodium diets are inappropriate, fluid excess is unlikely, and hypoglycemia, not hyperglycemia, is a concern.