ATI RN
ATI Medical Surgical 2 Final 2024 Assessment Questions
Extract:
Question 1 of 5
A nurse is planning a teaching session about hysterosalpingography for a client who has a diagnosis of infertility. The nurse should include which of the following information in the teaching plan?
Correct Answer: A
Rationale: Hysterosalpingography is scheduled post-menstruation but pre-ovulation to avoid pregnancy, not 5 days prior to menstruation.
Question 2 of 5
A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values?
Correct Answer: B
Rationale: In primary hypothyroidism, the thyroid gland is underactive and does not produce sufficient thyroid hormones, including Free T4.
Therefore, we would not expect an elevation of Free T4 in primary hypothyroidism; instead, its levels would typically be low or normal. Thyroid stimulating hormone (TSH) levels are elevated in primary hypothyroidism because the pituitary gland releases more TSH in an attempt to stimulate the thyroid gland to produce more thyroid hormones. This is a compensatory response to the low levels of circulating thyroid hormones, particularly thyroxine (T4). Serum T3 levels may be low or normal in primary hypothyroidism. T3 is the active form of thyroid hormone and is usually converted from T4. If T4 levels are low, T3 levels may also be affected; however, T3 levels are not the primary diagnostic marker for hypothyroidism and do not typically show elevation in this condition. Serum T4 levels are typically low in primary hypothyroidism because the thyroid gland is not producing enough of this hormone. An elevation of serum T4 would not be expected unless the patient is receiving treatment for hypothyroidism.
Question 3 of 5
A nurse is caring for several clients at a community clinic. Which of the following clients is most at risk for developing type 2 diabetes mellitus?
Correct Answer: B
Rationale: A 40-year-old client with hypoglycemia is at higher risk for type 2 diabetes, as hypoglycemia can indicate insulin resistance or pre-diabetes, especially with age-related risk factors. Autoimmune disorders are linked to type 1 diabetes, lack of sleep is a weaker predictor, and never giving birth is not a risk factor.
Question 4 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 5 of 5
A nurse is providing teaching to a client who has had a total abdominal hysterectomy and bilateral salpingo-oophorectomy for uterine cancer. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Artificial lubrication helps manage vaginal dryness post-surgery due to decreased estrogen levels.