ATI RN
ATI Med Surg Exam 3 Questions
Extract:
Question 1 of 5
A nurse is reviewing data for a client who has a head injury. Which of the following findings should indicate to the nurse that the client might have diabetes insipidus?
Correct Answer: A
Rationale: Urine output of 800 mL/hr indicates diabetes insipidus due to large amounts of diluted urine from ADH deficiency. Blood glucose of 198 mg/dL suggests diabetes mellitus. Serum sodium of 145 mEq/L is normal. Urine specific gravity of 1.028 indicates concentrated urine.
Question 2 of 5
A home health nurse reinforces instructions to a client who is taking allopurinol for the treatment of gout. The nurse provides which client instructions?
Correct Answer: C
Rationale: Drinking 8 glasses of fluid daily prevents kidney stones and flushes uric acid. Ice packs or antihistamine lotions for swelling or rash require medical attention. Allopurinol should be taken after meals to avoid stomach upset.
Question 3 of 5
A nurse is caring for a client who had a cholecystectomy and has a T-tube drain. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Fowler's position promotes bile drainage and prevents reflux. Transparent dressings trap moisture. Clamping causes bile accumulation. Securing to the gown risks displacement.
Question 4 of 5
A client has an arteriovenous fistula in place for hemodialysis. What should the nurse do to assess the patency of the fistula?
Correct Answer: D
Rationale: Palpating for a vibrating sensation (thrill) assesses fistula patency by confirming blood flow. Irrigating, flushing, or infusing saline may cause bleeding, infection, or fluid overload.
Question 5 of 5
A nurse is caring for a client with myasthenia gravis who is exhibiting signs of cholinergic crisis. Which medication does the nurse ensure is available to treat this crisis?
Correct Answer: A
Rationale: Atropine sulfate reverses cholinergic crisis by blocking acetylcholine effects. Pyridostigmine treats myasthenia gravis but not the crisis. Protamine sulfate reverses heparin. Acetylcysteine treats acetaminophen overdose.