ATI RN
ATI Capstone Adult Medical Surgical Assessment 2
1. A patient with a new diagnosis of diabetes insipidus is planning care. What should be included in the plan of care?
- A. Avoid alcohol
- B. Increase exercise to reduce stress
- C. Increase fluid intake
- D. Restrict sodium intake
Correct answer: A
Rationale: The correct answer is to avoid alcohol. In diabetes insipidus, excessive urination leads to fluid loss, so it is essential to avoid alcohol which can exacerbate dehydration. Choice B is incorrect as increasing exercise may not directly impact diabetes insipidus. Choice C is also incorrect because although increasing fluid intake may seem intuitive, it is not the primary concern in managing diabetes insipidus. Choice D is not directly related to managing diabetes insipidus; sodium restriction is more relevant in conditions like hypertension or heart failure.
2. Metabolism refers to all of the chemical reactions in an organism that support life. Is this statement true?
- A. True
- B. False
- C. Not Sure
- D. None of the above
Correct answer: A
Rationale: The statement is true. Metabolism indeed refers to all of the chemical reactions in an organism that support life. It is essential for various processes in the body, including converting food into energy, building and repairing tissues, and eliminating waste products. Choice B is incorrect because metabolism does encompass all chemical reactions that sustain life. Choice C is incorrect as the definition of metabolism is clear. Choice D is incorrect as the statement provided is true.
3. A client with diabetes mellitus is being taught by a nurse on managing hypoglycemia. Which of the following instructions should the nurse include?
- A. Avoid consuming carbohydrate-rich foods.
- B. Consume 15 grams of a fast-acting carbohydrate.
- C. Drink a glass of water to raise blood glucose levels.
- D. Eat a snack before exercising to prevent hypoglycemia.
Correct answer: B
Rationale: The correct answer is B: Consume 15 grams of a fast-acting carbohydrate. Consuming 15 grams of a fast-acting carbohydrate, such as glucose tablets or juice, helps raise blood glucose levels quickly in cases of hypoglycemia. Choice A is incorrect because avoiding carbohydrate-rich foods during hypoglycemia can worsen the condition. Choice C is incorrect as drinking water does not effectively raise blood glucose levels. Choice D is incorrect as eating a snack before exercising is more related to preventing exercise-induced hypoglycemia, not managing hypoglycemia.
4. Which vitamin deficiency is most likely to be associated with increased risk of macular degeneration?
- A. Vitamin A
- B. Vitamin B12
- C. Vitamin C
- D. Vitamin E
Correct answer: D
Rationale: Vitamin E is an antioxidant that helps protect eye health and prevent macular degeneration.
5. A nurse assesses a client who has a radial artery catheter. Which assessment should the nurse complete first?
- A. . Amount of pressure in fluid container
- B. Date of catheter tubing change
- C. Percent of heparin in infusion container
- D. . Presence of an ulnar pulse
Correct answer: . Presence of an ulnar pulse
Rationale:
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