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ATI LPN · Medical Surgical Nursing · ATI Medical Surgical Proctored Exam 2019 Quizlet

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

In evaluating a 10-year-old child with meningitis suspected of having diabetes insipidus, which finding is indicative of diabetes insipidus?

A. Decreased urine specific gravity.

B. Elevated urine glucose.

C. Decreased serum potassium.

D. Increased serum sodium.

Expert Explanatory Rationale

Correct Answer: Decreased urine specific gravity.

Question 2 of 5

The healthcare provider is planning care for a non-potty-trained child with nephrotic syndrome. Which intervention provides the best means of determining fluid retention?

A. Weigh the child daily.

B. Observe the lower extremities for pitting edema.

C. Measure the child's abdominal girth weekly.

D. Weigh the child's wet diapers.

Expert Explanatory Rationale

Correct Answer: Weigh the child daily.

Question 3 of 5

Which client's laboratory value requires immediate intervention by a nurse?

A. A client with GI bleeding who is receiving a blood transfusion and has a hemoglobin of 7 grams.

B. A client with pancreatitis who has a fasting glucose of 190 mg/dl today and had 160 mg/dl yesterday.

C. A client with hepatitis who is jaundiced and has a bilirubin level that is 4 times the normal value.

D. A client with cancer who has an absolute neutrophil count < 500 today and had 2,000 yesterday.

Expert Explanatory Rationale

Correct Answer: A client with cancer who has an absolute neutrophil count < 500 today and had 2,000 yesterday.

Question 4 of 5

Which assessment finding indicates a client's readiness to leave the nursing unit for a bronchoscopy?

A. Client denies allergies to contrast media.

B. Skin prep to insertion site completed.

C. On-call sedation administered.

D. Oxygen at 2 L/minute via nasal cannula.

Expert Explanatory Rationale

Correct Answer: On-call sedation administered.

Question 5 of 5

A highly successful individual presents to the community mental health center complaining of sleeplessness and anxiety over their financial status. What action should the nurse take to assist this client in diminishing their anxiety?

A. Encourage them to initiate daily rituals.

B. Reinforce the reality of their financial situation.

C. Direct them to drink a glass of red wine at bedtime.

D. Teach them to limit sugar and caffeine intake.

Expert Explanatory Rationale

Correct Answer: Teach them to limit sugar and caffeine intake.