ATI RN
ATI Med Surg Monroe College Questions
Extract:
Question 1 of 5
A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism?
Correct Answer: A
Rationale: Hyperphosphatemia (5.7 mg/dL) is a manifestation of hypoparathyroidism due to low parathyroid hormone levels.
Question 2 of 5
A patient newly diagnosed with diabetes mellitus is admitted to the emergency department with nausea, vomiting, and abdominal pain. ABG results reveal a pH of 7.2 and a bicarbonate level of 20 mEq/L. What other assessment findings should the nurse anticipate in this patient? (Select all that apply)
Correct Answer: A,C,D,E
Rationale: Metabolic acidosis in diabetic ketoacidosis causes Kussmaul respirations, dysrhythmias, tachycardia, and weakness.
Question 3 of 5
A nurse is caring for a client who is receiving IV fluids to correct dehydration. Which of the following laboratory values should indicate to the nurse that the client is effectively responding to treatment?
Correct Answer: C
Rationale: A urine specific gravity of 1.020 indicates normal urine concentration, suggesting effective rehydration.
Question 4 of 5
A nurse is reviewing the medical record of a client who has a potassium level of 3.0 mEq/L. Which of the following findings should the nurse recognize as a potential causative factor?
Correct Answer: C
Rationale: Gastric suction removes potassium-containing fluids, causing hypokalemia by reducing serum potassium levels.
Question 5 of 5
A patient is admitted with hypernatremia caused by being stranded on a boat in the Atlantic Ocean for two days without water. What is the patient at risk for developing?
Correct Answer: C
Rationale: Hypernatremia affects the heart's electrical activity, increasing the risk of cardiac arrhythmias due to dehydration and electrolyte imbalance.