ATI RN
ATI RN Medical Surgical 2023 Questions
Extract:
Question 1 of 5
A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?
Correct Answer: B
Rationale: Gout results from hyperuricemia, causing uric acid crystal deposition in joints. Elevated uric acid levels confirm this, unlike chloride, creatinine kinase (muscle damage), or intrinsic factor (vitamin B12 absorption).
Question 2 of 5
A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which of the following assessment findings indicates to the nurse that the medication is effective?
Correct Answer: D
Rationale: Furosemide reduces fluid overload in pulmonary edema, leading to weight loss from diuresis. A 1.8 kg loss indicates effective fluid removal, unlike persistent high respiratory rate, adventitious sounds, or elevated blood pressure, which suggest ongoing edema.
Question 3 of 5
A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Wearing gloves and handwashing when changing litter prevents toxoplasmosis, a risk in AIDS due to immunosuppression. Alcohol is insufficient for body fluids, dry cleaning isn't needed, and diet alone doesn't address infection risk.
Question 4 of 5
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The client's urinary output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the following IV medications?
Correct Answer: B
Rationale: Excessive thirst and high urinary output suggest diabetes insipidus from brainstem injury affecting antidiuretic hormone. Desmopressin replaces this hormone, reducing urine output. Other medications address unrelated conditions like shock, hypertension, or edema.
Question 5 of 5
A nurse is reviewing the medical record of a client who has acute gout. The nurse should expect an increase in which of the following laboratory results?
Correct Answer: B
Rationale: Gout results from hyperuricemia, causing uric acid crystal deposition in joints. Elevated uric acid levels confirm this, unlike chloride, creatinine kinase (muscle damage), or intrinsic factor (vitamin B12 absorption).