ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is collecting the medical history from a client who has manifestations of the syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if they have a history of which of the following conditions that can cause SIADH?
Correct Answer: D
Rationale: Lung cancer, especially small cell type, is a common cause of SIADH due to ectopic antidiuretic hormone production.
Question 2 of 5
A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?
Correct Answer: C
Rationale: Oliguria, or low urine output, is an expected finding in hypovolemic shock. As the blood volume decreases, the kidneys receive less blood flow, leading to reduced urine production. This is a protective mechanism to conserve body fluids, but it also indicates the severity of fluid loss and the need for urgent intervention.
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 teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply)
Correct Answer: A,C,D
Rationale: Raisins, bananas, and tomatoes are high in potassium and should be avoided by clients with chronic kidney disease to prevent hyperkalemia. Asparagus and green beans are lower-potassium foods and can be included in a kidney-friendly diet in appropriate portions.
Question 5 of 5
A nurse is assessing a client who reports a nevus that has increased in size and an irregularly shaped lesion that varies in color. These findings are consistent with which of the following medical diagnoses?
Correct Answer: B
Rationale: Malignant melanoma is characterized by changing nevi with size increase and color variation.