ATI RN
ATI Nsg 234 Med Surg Exam Neurologyendocrine And Sensory Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a urine specific gravity of less than 1.005, polyuria, and nocturia. The nurse recognizes that which of the following physiologic findings is the likely cause?
Correct Answer: D
Rationale: Insufficient ADH, as seen in diabetes insipidus, leads to the inability to concentrate urine, resulting in a low specific gravity, polyuria, and nocturia due to excessive water loss.
Question 2 of 5
A nurse is caring for a client who has a mild traumatic brain injury (TBI). Which of the following manifestations should the nurse immediately report to the provider?
Correct Answer: C
Rationale: A change in the Glasgow Coma Scale score from 13 to 11 indicates a worsening level of consciousness and necessitates immediate reporting, as it may suggest increased intracranial pressure or other complications.
Question 3 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 4 of 5
A nurse is caring for a client diagnosed with Addison's disease who is at risk for Addisonian crisis. The nurse is aware that which of the following is the priority assessment?
Correct Answer: B
Rationale: Monitoring for signs of shock is the priority, as Addisonian crisis can lead to severe hypotension and shock, which requires immediate intervention.
Question 5 of 5
A nurse is caring for a client in an induced coma for increased intracranial pressure (ICP). What should the nurse assess next to determine this client's cerebral function?
Correct Answer: B
Rationale: Assessing pupillary size and reaction provides critical information on brainstem function and can indicate changes in ICP. Changes in pupil size and reaction can signify worsening cerebral function or brain herniation.