ATI RN
ATI n269 Med Surg Exam Questions
Extract:
Question 1 of 5
Which education about health promotion would the nurse include regarding head and neck cancer?
Correct Answer: A
Rationale: Exercising safe sex practices, especially in regard to human papillomavirus (HPV), is important because HPV is a known risk factor for head and neck cancers, particularly oropharyngeal cancers. Safe sex practices, including the use of barriers like condoms, can reduce the risk of HPV infection.
Question 2 of 5
Which serum electrolyte value alerts the nurse to the possibility of hyperaldosteronism?
Correct Answer: A
Rationale: Hyperaldosteronism causes sodium retention and potassium excretion, leading to elevated serum sodium levels and low potassium levels. A serum potassium level of 2.5 mmol/L is indicative of hypokalemia, which is a classic finding in hyperaldosteronism.
Question 3 of 5
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?
Correct Answer: D
Rationale: 0.9% sodium chloride IV bolus is the first-line treatment for DKA to rehydrate the patient, correct electrolyte imbalances, and dilute the high blood glucose level. After stabilization, insulin therapy is also introduced.
Question 4 of 5
Which instruction is highest priority when the nurse is developing a teaching plan for a patient with Addison's disease?
Correct Answer: B
Rationale: Managing lifelong corticosteroid replacement is the most crucial instruction because individuals with Addison's disease have insufficient production of adrenal hormones, particularly cortisol. Without appropriate corticosteroid therapy, they can experience life-threatening adrenal crises.
Question 5 of 5
A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see?
Correct Answer: B
Rationale: In metabolic acidosis, the pH is expected to be below 7.35 because metabolic acidosis indicates an accumulation of acid or loss of bicarbonate, which lowers the blood pH.