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ATI LPN · Medical Surgical Nursing · Medical Surgical Endocrine ATI Quizlet

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A 19-year-old woman has had a fever and chills accompanied by right flank pain for the past 3 days. She has had two similar episodes during the past year. On physical examination, her temperature is 38.3°C, her blood pressure is 152/94 mm Hg, and there is right costovertebral angle tenderness. Laboratory findings show a serum glucose level of 77 mg/dL and creatinine level of 1 mg/dL. Urinalysis shows a pH of 6.5; specific gravity, 1.018; and no protein, blood, glucose, or ketones. Microscopic examination of the urine shows many WBCs and WBC casts. Which of the following is the most useful test to obtain on this patient?

A. Antinuclear antibody
B. Plasma renin
C. Renal biopsy
D. Urine culture

Expert Explanatory Rationale

Correct Answer: Urine culture

Question 2 of 5

The nurse is assigned to care for a client who had a thyroidectomy 24 hours ago. On initial assessment which finding requires the most immediate action by the nurse?

A. Calcium 8.8 mg/dL
B. Heart rate 100/minute
C. Laryngeal stridor
D. Pain rated 8 out of 10

Expert Explanatory Rationale

Correct Answer: Laryngeal stridor

Question 3 of 5

A client with SIADH is admitted with a serum sodium level of 105 mEq/L. Which request by the health care provider does the nurse address first?

A. Administer infusion of 150 mL of 3% NaCl over 3 hours.
B. Draw blood for hemoglobin and hematocrit.
C. Insert retention catheter and monitor urine output.
D. Weigh the client on admission and daily thereafter.

Expert Explanatory Rationale

Correct Answer: Administer infusion of 150 mL of 3% NaCl over 3 hours.

Question 4 of 5

Parasitic infection

A. eosinophilia
B. Kayser-Fleischer ring
C. cholelithiasis
D. joint pain

Expert Explanatory Rationale

Correct Answer: eosinophilia

Question 5 of 5

The hypothalamus secretes releasing and inhibiting hormones that regulate the production and secretion of hormones from the:

A. adrenal cortex
B. anterior pituitary gland
C. posterior pituitary gland
D. thyroid gland

Expert Explanatory Rationale

Correct Answer: anterior pituitary gland

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