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ATI RN · Clinical Skills Assessment · clinical skills exam questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The most common cause of acute kidney injury in critically ill patients is

A. sepsis.
B. fluid overload.
C. medications.
D. hemodynamic instability.

Expert Explanatory Rationale

Correct Answer: sepsis.

Question 2 of 5

A patient with type 1 diabetes who is receiving a continuous subcutaneous insulin infusion via an insulin pump contacts the clinic to report mechanical failure of the infusion pump. The nurse instructs the patient to begin monitoring for signs of:

A. adrenal insufficiency.
B. diabetic ketoacidosis.
C. hyperosmolar, hyperglycemic state.
D. hypoglycemia.

Expert Explanatory Rationale

Correct Answer: diabetic ketoacidosis.

Question 3 of 5

Which of the following is a high-priority nursing diagnosis for both diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome?

A. Activity intolerance
B. Fluid volume deficient
C. Hyperthermia
D. Impaired nutrition, more than body requirements

Expert Explanatory Rationale

Correct Answer: Fluid volume deficient

Question 4 of 5

The nurse is caring for a patient with a diagnosis of head trauma. The nurse notes that the patient's urine output has increased tremendously over the past 18 hours. The nurse suspects that the patient may be developing

A. diabetes insipidus.
B. diabetic ketoacidosis.
C. hyperosmolar hyperglycemic syndrome.
D. syndrome of inappropriate secretion of antidiuretic hormone.

Expert Explanatory Rationale

Correct Answer: diabetes insipidus.

Question 5 of 5

A patient is admitted to the critical care unit with a diagnosis of diabetic ketoacidosis. Following aggressive fluid resuscitation and intravenous (IV) insulin administration, the blood glucose begins to normalize. In addition to glucose monitoring, which of the following electrolytes requires close monitoring?

A. Calcium
B. Chloride
C. Potassium
D. Sodium

Expert Explanatory Rationale

Correct Answer: Potassium

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