ATI MEDICAL SURGICAL RESPIRATORY - EXAMINATION COMPLETE QUESTIONS AND
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A nurse is reviewing the lab findings of a client who
has suspected hyperthyroidism. An elevation of which of the
following supports this diagnosis?
A. Triiodothyronine (t3)
B. Vanillymandelic (vma)
C. Adrenocorticotropic hormone (acth)
D. Glycosylated hemoglobin (hba1c)
Answer:
a. T3 increases a hyperthyroid state
Rationale: Vma is for pheochromocytoma and relfects the amount of
catecholamin byproducts, acth is to detect cushing's
Question 2: A nurse is reviewing the health record of a client who
has siadh. Which of the following lab findings should the nurse
expect? (select all that apply)
A. Low serum sodium
B. High serum potassium
C. Decreased urine osmolality
D. High urine sodium
E. E. Increased urine-specific gravity
Answer:
a,d,e -
Rationale: Siadh results in water retention, causing a low serum sodium,
high urine sodium, and increase in urine-specific gravity.
,Question 3: A nurse is caring for a client with primary diabetes
insipidus. Which of the following manifestations should the nurse
expect to find? (select all that apply)
A. Serum sodium of 155 meq/l
B. Fatigue
C. Serum osmolality of 250 mosm/l
D. Polyuria
E. E. Nocturia
Answer:
a,b,d,e
Rationale: Primary diabetes insipidus is caused by a reduction of adh,
which can result in increased serum sodium, fatigue due to electrolyte
imbalance, polyuria, and nocturia
Question 4: A nurse is caring for a client who has diabetes
insipidus. Which of the following urinalysis lab findings should the
nurse anticipate?
A. Absence of glucose
B. Decreased specific gravity
C. Presence of ketones
D. Presence of rbcs
Answer:
b- decreased specific gravity
Rationale: The urine of a client with di will be dilute and less than 1.005
Question 5: A nurse is caring for a client who has siadh. Which of
the following findings should the nurse expect? (select all that
apply)
A. Decreased serum sodium
, B. Urine specific gravity 1.001
C. Serum osmolality 230 mosm/l
D. Polyuria
E. E. Increased thirst
Answer:
a,c
Rationale: A decrease in serum sodium, and serum osmolality is caused
by an increase in the secretion of adh
Question 6: A nurse is assessing a client who has siadh. Which of
the following findings indicates the client is experiencing a
complication?
A. Decreased central venous pressure(cvp)
B. Increased urine output
C. Distended neck veins
D. Extreme thirst
Answer:
c. Distended neck veins
Rationale: This is a manifestation of fluid overload, which can lead to
pulmonary edema and heart failure.
Question 7: A nurse is providing teaching to a client who has a new
diagnosis of diabetes insipidus. Which of the following statements
by the client requires further teaching?
A. "i can drink up to 2 quarts of fluid daily"
B. "i should expect to urinate frequently at night"
C. "i may experience headaches"
D. "i may experience dry mouth"
, Answer:
a. Excessive thirst is a manifestation of di. Consumption of 4 to 30l/day
can be expected and fluid intake should not be limited
Question 8: A nurse is a provider's office is reviewing the health
record of a client who is being evaluated for grave's disease. Which
of the following is an expected laboratory finding for this client?
A. Decreased thyrotropin receptor antibodies
B. Decreased thyroid stimulating hormone
C. Decreased free thyroxine index
D. Decreased triiodothyronine
Answer:
b. Decreased tsh
Rationale: A nurse is reviewing the clinical manifestations of
hyperthyroidism with a client, which should she include (select all that
apply)
Question 9: A. Dry skin
A. Heat intolerance
B. Constipation
C. Palpitations
D. E weight loss
E. F bradycardia
Answer:
b,d,e
Question 10: A nurse is providing instructions to a client who has
graves' disease and has a new prescription for propanolol(inderal).
Which of the following information should the nurse include?
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A nurse is reviewing the lab findings of a client who
has suspected hyperthyroidism. An elevation of which of the
following supports this diagnosis?
A. Triiodothyronine (t3)
B. Vanillymandelic (vma)
C. Adrenocorticotropic hormone (acth)
D. Glycosylated hemoglobin (hba1c)
Answer:
a. T3 increases a hyperthyroid state
Rationale: Vma is for pheochromocytoma and relfects the amount of
catecholamin byproducts, acth is to detect cushing's
Question 2: A nurse is reviewing the health record of a client who
has siadh. Which of the following lab findings should the nurse
expect? (select all that apply)
A. Low serum sodium
B. High serum potassium
C. Decreased urine osmolality
D. High urine sodium
E. E. Increased urine-specific gravity
Answer:
a,d,e -
Rationale: Siadh results in water retention, causing a low serum sodium,
high urine sodium, and increase in urine-specific gravity.
,Question 3: A nurse is caring for a client with primary diabetes
insipidus. Which of the following manifestations should the nurse
expect to find? (select all that apply)
A. Serum sodium of 155 meq/l
B. Fatigue
C. Serum osmolality of 250 mosm/l
D. Polyuria
E. E. Nocturia
Answer:
a,b,d,e
Rationale: Primary diabetes insipidus is caused by a reduction of adh,
which can result in increased serum sodium, fatigue due to electrolyte
imbalance, polyuria, and nocturia
Question 4: A nurse is caring for a client who has diabetes
insipidus. Which of the following urinalysis lab findings should the
nurse anticipate?
A. Absence of glucose
B. Decreased specific gravity
C. Presence of ketones
D. Presence of rbcs
Answer:
b- decreased specific gravity
Rationale: The urine of a client with di will be dilute and less than 1.005
Question 5: A nurse is caring for a client who has siadh. Which of
the following findings should the nurse expect? (select all that
apply)
A. Decreased serum sodium
, B. Urine specific gravity 1.001
C. Serum osmolality 230 mosm/l
D. Polyuria
E. E. Increased thirst
Answer:
a,c
Rationale: A decrease in serum sodium, and serum osmolality is caused
by an increase in the secretion of adh
Question 6: A nurse is assessing a client who has siadh. Which of
the following findings indicates the client is experiencing a
complication?
A. Decreased central venous pressure(cvp)
B. Increased urine output
C. Distended neck veins
D. Extreme thirst
Answer:
c. Distended neck veins
Rationale: This is a manifestation of fluid overload, which can lead to
pulmonary edema and heart failure.
Question 7: A nurse is providing teaching to a client who has a new
diagnosis of diabetes insipidus. Which of the following statements
by the client requires further teaching?
A. "i can drink up to 2 quarts of fluid daily"
B. "i should expect to urinate frequently at night"
C. "i may experience headaches"
D. "i may experience dry mouth"
, Answer:
a. Excessive thirst is a manifestation of di. Consumption of 4 to 30l/day
can be expected and fluid intake should not be limited
Question 8: A nurse is a provider's office is reviewing the health
record of a client who is being evaluated for grave's disease. Which
of the following is an expected laboratory finding for this client?
A. Decreased thyrotropin receptor antibodies
B. Decreased thyroid stimulating hormone
C. Decreased free thyroxine index
D. Decreased triiodothyronine
Answer:
b. Decreased tsh
Rationale: A nurse is reviewing the clinical manifestations of
hyperthyroidism with a client, which should she include (select all that
apply)
Question 9: A. Dry skin
A. Heat intolerance
B. Constipation
C. Palpitations
D. E weight loss
E. F bradycardia
Answer:
b,d,e
Question 10: A nurse is providing instructions to a client who has
graves' disease and has a new prescription for propanolol(inderal).
Which of the following information should the nurse include?
