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ATI Practice Assessments For Med-Surg (Medical-Surgical Nursing) LATEST EXAM STUDY GUIDE ACTUAL EXAM QUESTIONS AND WELL ELABORATED ANSWERS (MOST TESTED QUESTIONS WITH VERIFIED ANSWERS) LATEST UPDATES |ALREADY GRADED A+ (REVISED EXAM

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ATI Practice Assessments For Med-Surg (Medical-Surgical Nursing)
LATEST EXAM STUDY GUIDE ACTUAL EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (MOST TESTED QUESTIONS WITH VERIFIED
ANSWERS) LATEST UPDATES |ALREADY GRADED A+ (REVISED EXAM)

A nurse is assisting with the plan of care for a community health
screening for a group of clients who are at risk for type 2 diabetes
mellitus. Which of the following clients should the nurse include in the
screening?

Men who smoke

Men and Women who are obese

Women who have hepatitis

Men and women who consume high-protein and low-carbohydrate
foods - CORRECT ANSWER B Men and Women who are obese

There is a high correlation between obesity and type 2 diabetes
mellitus. Obesity plays a major role in the development of type 2
diabetes mellitus by decreasing the number of available insulin
receptors in skeletal muscles and fat cells. This is referred to as

,

peripheral insulin resistance. A reduced-calorie diet for obese clients
tends to reverse the phenomenon of peripheral insulin resistance

A nurse is collecting data from a client who has manifestations of
acromegaly. Which of the following findings should the nurse expect?

Thinning of skeletal bone structure

Concave chest wall

High-pitched voice

Increased head size - CORRECT ANSWER D Increased head size

The client who has acromegaly will manifest an enlarged head size
due to excessive production of growth hormones after closing of the
epiphyses (the "growth plate" at the ends of the long bones) by the
pituitary gland. It results in the gradual enlargement of the client's
body tissues, such as the bones of the face, jaw, hands, feet, and skull

A nurse is checking laboratory values to determine if a client who has
diabetes mellitus is adhering to the treatment plan. Which of the
following tests should the nurse use to make the determination?

Glucose tolerance test

Urine sugar and acetone

Glycosylated hemoglobin levels

Fasting serum glucose - CORRECT ANSWER C Glycosylated
hemoglobin levels

Checking glycosylated hemoglobin levels, or HbA1c, is an accurate
method to determine if the client is routinely compliant. Glycosylated
hemoglobin refers to hemoglobin that is connected to glucose. Since
the life span of a RBC is 4 months, this value will not be affected by
recent changes in the client's diet or medication

,

A nurse is reviewing the laboratory values for a client who has
hyperglycemic hyperosmolar nonketotic syndrome. The nurse should
expect that which of the following laboratory values is consistent with
hyperglycemic hyperosmolar nonketotic syndrome?

Blood glucose 320 mg/dL

Positive urine ketones

Blood pH 7.34

Blood osmolality greater than 350 mOsm/kg - CORRECT ANSWER A
Blood glucose 320 mg/dL

The client who has hyperglycemic hyperosmolar nonketotic syndrome
should have a blood glucose level greater than 250 mg/dL which will
cause spilling of ketones in the urine and development of metabolic
acidosis

A nurse is assisting with the plan of care for a client who is
experiencing the Somogyi effect and takes intermittent-acting insulin.
Which of the following actions should the nurse include in the plan?

Move the evening intermediate-acting insulin dose to 90 min before
dinner

Increase the client's morning caloric intake

Omit the client's evening snack

Monitor the client's nighttime blood glucose levels - CORRECT
ANSWER D Monitor the client's nighttime blood glucose levels

The Somogyi effect is a swing of a high blood glucose level in the
morning after an extremely low blood level during the night. The swing
is caused by the release of stress hormones to counter low glucose

,

levels. Monitoring the client's nighttime blood glucose levels over time
can provide an accurate diagnosis of the Somogyi effect

A nurse is collecting data from a client who has Cushing's syndrome.
Which of the following skin manifestations should the nurse expect to
find?

Purple straie on the chest and abdomen

Butterfly rash across the bridge of the nose

Bronze pigmentation of skin

Jaundice of the face and sclera - CORRECT ANSWER A Purple straie
on the chest and abdomen

The client who has Cushing's disease should have purple straie
(streaks or stripes) on the chest and abdomen because cortisol
destroys collagen under the skin

A nurse is reinforcing teaching with a client who has type 2 diabetes
mellitus about the pathophysiology of the disease. Which of the
following statements by the client indicates an understanding of the
teaching?

"My cells are resistant to the effects of insulin"

"My body breaks down sugars too efficiently"

"My pancreas does not produce insulin"

"My body produces antibodies against pancreatic beta cells" -
CORRECT ANSWER A "My cells are resistant to the effects of insulin"

The client who has type 2 diabetes mellitus will have resistance to
insulin and a decrease in the secretion of insulin by the pancreatic
beta cells

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ATI Practice Assessments For Med-Surg (Medical-Surgical Nursing) LATEST EXAM STUDY GUIDE ACTUAL EXAM QUESTIONS AND WELL ELABORATED ANSWERS (MOST TESTED QUESTIONS WITH VERIFIED ANSWERS) LATEST UPDATES |ALREADY GRADED A+ (REVISED EXAM

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