ATI RN
ATI Med Surg Final Exam 3 Questions
Extract:
Question 1 of 5
The nurse is providing care for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and is critically ill. Which of the following lab findings requires immediate intervention?
Correct Answer: C
Rationale: A serum sodium level of 125 mEq/L indicates severe hyponatremia in SIADH, requiring immediate intervention to prevent neurological complications.
Question 2 of 5
A nurse is caring for a client who was diagnosed with type 2 diabetes mellitus 2 years ago. The client reports following the recommended diet and exercising four times per week. Which of the following findings indicates that the client's beta cells are restoring normal function?
Correct Answer: A
Rationale: A fasting blood glucose of 140 mg/dL, while still elevated, suggests some improvement in beta cell function if previously higher, indicating partial restoration of insulin production.
Question 3 of 5
A nurse is assessing a client who has restrictive cardiomyopathy (RCM). Which of the following statements should the nurse cue in the client?
Correct Answer: D
Rationale: Restrictive cardiomyopathy involves fibrous and fatty ventricular tissue, causing stiffness that impairs diastolic filling.
Question 4 of 5
A nurse is reviewing a client's laboratory results and sees that their hemoglobin A1C is 9. Which of the following statements from the nurse is appropriate?
Correct Answer: B
Rationale: A hemoglobin A1C level of 9% indicates that the client's average blood sugar levels are high over the past two to three months, making this the most accurate statement.
Question 5 of 5
A nurse is providing care for an older adult client who has hyperosmolar hyperglycemic syndrome (HHS). Which of the following clinical manifestations support the diagnosis? Select all that apply.
Correct Answer: B,D,E,F
Rationale: Fever, high serum glucose, low serum bicarbonate, and insidious onset are consistent with HHS, indicating infection, severe hyperglycemia, metabolic acidosis, and gradual development.