ATI RN
ATI Nsg 234 Med Surg Exam Neurologyendocrine And Sensory Questions
Extract:
Question 1 of 5
A nurse is performing a tonometry test on a client with a suspected diagnosis of glaucoma. The nurse looks at the documented test results and notes an intraocular pressure (IOP) value of 23 mm Hg. What should the nurse's initial action be?
Correct Answer: D
Rationale: An IOP of 23 mm Hg is above the normal range (10-21 mm Hg) and indicates potential glaucoma.
Therefore, contacting the primary health care provider for further evaluation and treatment is the most appropriate initial action.
Question 2 of 5
A nurse is in the emergency department (ED) and is caring for a client that has arrived by ambulance after a cervical spinal cord injury. Which assessment should be the priority for the nurse to perform at this time?
Correct Answer: A
Rationale: Assessing respiratory status and airway patency is the highest priority in this situation due to the risk of respiratory compromise from cervical spinal cord injuries, which can affect the diaphragm and other respiratory muscles.
Question 3 of 5
A nurse is providing education regarding the adrenal cortex production of mineralocorticoids. The nurse should include that mineralocorticoids influence which of the following?
Correct Answer: B
Rationale: Mineralocorticoids, such as aldosterone, play a crucial role in regulating fluid and electrolyte balance by promoting sodium retention and potassium excretion in the kidneys.
Question 4 of 5
A nurse is caring for a client with hyperparathyroidism and hypercalcemia. The nurse should expect to administer which of the following priority treatments? SELECT ALL THAT APPLY.
Correct Answer: A,C,D
Rationale: Calcium binders, fluids up to 3000 ml/day, and Furosemide are priority treatments to lower calcium levels by reducing absorption, diluting serum calcium, and promoting excretion, respectively.
Question 5 of 5
A nurse is planning care for a client who has a T4 spinal cord injury and is at risk for acquiring urinary tract infections. Which of the following actions should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: Encouraging fluid intake at and between meals helps to dilute urine and can reduce the risk of urinary tract infections (UTIs) by promoting regular urination.