ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Encouraging 3 L of fluids daily helps flush stones and prevent new ones. Decreased urine output suggests obstruction. High protein diets increase stone risk. Bed rest may increase urinary stasis.
Question 2 of 5
A nurse is monitoring a client for findings related to diabetes insipidus following a craniotomy. Which of the following findings should indicate a manifestation of this condition to the nurse?
Correct Answer: D
Rationale: Increased urine output is a common finding in diabetes insipidus, as the lack of antidiuretic hormone (ADH) causes the kidneys to excrete large amounts of diluted urine. Hypertension may indicate increased intracranial pressure or other complications. Fluid retention may indicate syndrome of inappropriate antidiuretic hormone secretion (SIADH) or heart failure. Elevated blood glucose may indicate diabetes mellitus or hyperglycemia.
Question 3 of 5
Which of the following clinical manifestations should a nurse expect from a client with hyperthyroidism? SELECT ALL THAT APPLY
Correct Answer: A,B,C
Rationale: Heat intolerance, diarrhea, and weight loss are common findings in hyperthyroidism due to increased metabolic rate, gastrointestinal motility, and calorie burning. Weight gain may indicate hypothyroidism or Cushing's syndrome. Bradycardia may indicate heart block or beta-blocker use.
Question 4 of 5
A nurse is contributing to a teaching plan about the prevention of hepatitis A. The nurse should include which of the following activities can spread hepatitis A?
Correct Answer: C
Rationale: Eating uncooked foods can spread hepatitis A via fecal-contaminated food or water. Sharing razors or tattoos may transmit hepatitis B or C. Unprotected sexual activity is less common for hepatitis A transmission.
Question 5 of 5
A client with chronic renal failure asks the nurse the effects of losing erythropoietin. Which of the following statements best explains the loss of this hormone?
Correct Answer: D
Rationale: Loss of erythropoietin results in anemia, as it stimulates red blood cell production. It does not directly affect immunologic function, may cause hypotension, and is not linked to elevated lipids.