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ATI RN · Clinical Skills Assessment · clinical skills questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

In calculating the glomerular filtration rate (GFR) results for women, the creatinine clearance is usually:

A. the same as for men.

B. greater than that for men.

C. multiplied by 0.85.

D. multiplied by 1.15.

Expert Explanatory Rationale

Correct Answer: the same as for men.

Question 2 of 5

The most common reasons for initiating dialysis in acute kidney injury include which of the following? (Select all that apply.)

A. Acidosis

B. Hypokalemia

C. Volume overload

D. Hyperkalemia

Expert Explanatory Rationale

Correct Answer: Acidosis

Question 3 of 5

Which of the following patients is at the highest risk for hyperosmolar hyperglycemic syndrome?

A. An 18-year-old college student with type 1 diabetes who exercises excessively

B. A 45-year-old woman with type 1 diabetes who forgets to take her insulin in the morning

C. A 75-year-old man with type 2 diabetes and coronary artery disease who has recently started on insulin injections

D. An 83-year-old, long-term care resident with type 2 diabetes and advanced Alzheimer's disease who recently developed influenza

Expert Explanatory Rationale

Correct Answer: An 83-year-old, long-term care resident with type 2 diabetes and advanced Alzheimer's disease who recently developed influenza

Question 4 of 5

The nurse is assigned to care for a patient who presented to the emergency department with diabetic ketoacidosis. A continuous insulin intravenous infusion is started, and hourly bedside glucose monitoring is ordered. The targeted blood glucose value after the first hour of therapy is

A. 70 to 120 mg/dL.

B. a decrease of 25 to 50 mg/dL compared with admitting values.

C. a decrease of 35 to 90 mg/dL compared with admitting values.

D. less than 200 mg/dL.

Expert Explanatory Rationale

Correct Answer: a decrease of 35 to 90 mg/dL compared with admitting values.

Question 5 of 5

A patient is receiving hydrocortisone sodium succinate for adrenal crisis. What other medication does the nurse prepare to administer?

A. Regular insulin

B. A proton pump inhibitor

C. Canagliflozin

D. Propranolol

Expert Explanatory Rationale

Correct Answer: A proton pump inhibitor

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