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ATI RN · Clinical Skills Assessment · Nursing Clinical Skills questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A normal urine output is considered to be

A. 80 to 125 mL/min.

B. 180 L/day.

C. 80 mL/min.

D. 1 to 2 L/day.

Expert Explanatory Rationale

Correct Answer: 1 to 2 L/day.

Question 2 of 5

Which of the following laboratory values would be more common in patients with diabetic ketoacidosis?

A. Blood glucose >1000 mg/dL

B. Negative ketones in the urine

C. Normal anion gap

D. pH 7.24

Expert Explanatory Rationale

Correct Answer: Blood glucose >1000 mg/dL

Question 3 of 5

A patient has been on daily, high-dose glucocorticoid therapy for the treatment of rheumatoid arthritis. His prescription runs out before his next appointment with his physician. Because he is asymptomatic, he thinks it is all right to withhold the medication for 3 days. What is likely to happen to this patient?

A. He will go into adrenal crisis.

B. He will go into thyroid storm.

C. His autoimmune disease will go into remission.

D. Nothing; it is appropriate to stop the medication for 3 days.

Expert Explanatory Rationale

Correct Answer: He will go into adrenal crisis.

Question 4 of 5

In the management of diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome, when is an intravenous (IV) solution that contains dextrose started?

A. Never; normal saline is the only appropriate solution in diabetes management

B. When the blood sugar reaches 70 mg/dL

C. When the blood sugar reaches 150 mg/dL

D. When the blood glucose reaches 250 mg/dL

Expert Explanatory Rationale

Correct Answer: When the blood glucose reaches 250 mg/dL

Question 5 of 5

In hyperosmolar hyperglycemic syndrome, the laboratory results are similar to those of diabetic ketoacidosis, with three major exceptions. What differences would you expect to see in patients with hyperosmolar hyperglycemic syndrome?

A. Lower serum glucose, lower osmolality, and greater ketosis

B. Lower serum glucose, lower osmolality, and milder ketosis

C. Higher serum glucose, higher osmolality, and greater ketosis

D. Higher serum glucose, higher osmolality, and no ketosis

Expert Explanatory Rationale

Correct Answer: Higher serum glucose, higher osmolality, and no ketosis

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