Exam 1 ATI Practice

Exam 1 ATI Practice 1. A nurse is planning care for a client who has Cushing’s syndrome due to chronic corticosteroid use. Which of the following actions should the nurse involve in the plan of care? a. Check the client’s urine specific gravity. i. Rationale: to assess for fluid volume overload. 2. A nurse is providing teaching to a client who has Addison's disease about healthy snack foods. Which of the following food choices by the client indicates an understanding of the teaching? a. Turkey and cheese sandwich i. Rationale: high in protein, carbohydrates, and sodium. A client who has Addison’s requires a diet low in potassium, and high in protein, carbs, and sodium. 3. A nurse is reviewing the laboratory values of a client who has diabetic ketoacidosis. The nurse should understand that which of the following laboratory values is consistent with diabetic ketoacidosis? a. Bicarbonate level 12 mEq/L i. Rationale: DKA patients have bicarbonate levels less than 15 4. A nurse is caring for a client who has type 2 diabetes mellitus and is displaying manifestations of hyperglycemia. Which of the following findings should indicate to the nurse that the client has hyperglycemia? a. Increased urination i. Rationale: increased urination/polyuria, is a manifestation of hyperglycemia due to a deficiency of insulin, which can lead to osmotic diuresis. 5. A nurse is assessing a client who has Addison's disease. Which of the following skin manifestations should the nurse expect to find? a. Bronze pigmentation of skin i. Rationale: hormone deficiency caused by damage to the outer layer of the adrenal gland. 6. A nurse is caring for a client who has diabetes insidious. For which of the following findings should the nurse monitor? a. Polyuria i. Rationale: DI is characterized by increased thirst and increased urination. 7. A nurse is monitoring a client who has Graves' disease for the development of thyroid storm. the nurse should report which of the following findings to the provider? a. Hypertension i. Rationale: Thyroid storm patients will have an exaggerated condition of hyperthyroidism, associated with the development of afever, hypertension, abdominal pain, and tachycardia. 8. A nurse is preparing a 24-hour urine specimen for a client who is suspected to have pheochromocytoma. Which of the following laboratory tests from the 24-hour urine specimen should the nurse use to determine the client's condition? a. Vanillylmandelic acid (VMA) 9. A nurse is caring for a client who is postoperative following a bilateral adrenalectomy. the nurse should expect to administer glucocorticoids following the procedure to enhance which of the following therapeutic effects? a. Compensate for decrease in cortisol levels i. Rationale: glucocorticoids are used to prevent an adrenal crisis caused by a sudden drop in cortisol levels.