Medical Surgical ATI Proctored Exam

Medical Surgical ATI Proctored Exam Related

Review Medical Surgical ATI Proctored Exam related questions and content

Allison Lynn, 20, is a student in a health sciences class and asks you to further explain the reason for lack of insulin in Type I Diabetes. You state that the most accepted theory is that:

  • A. the insulin produced is not effective at the tissue level.
  • B. not enough insulin is made to manage the metabolic needs.
  • C. inflammation of the pancreas causes irregular release of insulin.
  • D. the body's immune system destroyed the cells that make insulin.
Correct Answer: D

Rationale: Type I diabetes is the definition of that disease process that occurs when no insulin is produced, so there is no insulin to get to the cell level. Some Type II diabetes occurs because of insulin resistance. No insulin is being produced. This is one pathophysiological cause of Type II diabetes. Pancreatitis does cause irregular release of insulin, but not all people with pancreatitis develop Type I diabetes An autoimmune process is the most accepted theory of the root cause of Type I diabetes. The body produces an antibody which attacks and destroys the beta cells, leading to a lack of insulin.

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A patient has come to the health clinic with diarrhea of 3 days’ duration. He says the stools occur five or six times per day and are very watery. Every time he eats or drinks something, he has an urgent diarrhea stool. He denies being out of the country but did attend a large family reunion held at a campground in the mountains about a week ago.

  • A. Timing
  • B. Quality
  • C. Severity
  • D. Palliative
Correct Answer: C

Rationale: The correct answers are 'Timing,' 'Quality,' 'Severity,' and 'Precipitating.' These aspects help clarify the nature and cause of the diarrhea.

What are the priority medical interventions for a client experiencing shock?

  • A. Decreased blood pressure
  • B. Increased heart rate
  • C. Fluid retention
  • D. Muscle cramps
Correct Answer: A

Rationale: Decreased blood pressure is a primary symptom in fluid imbalance as a result of inadequate circulating volume, leading to hypotension and possible shock.

What additional assessment should be made if there is no fluid in Mr. Jones’ chest tubes?

  • A. Turn Mr. Jones on his left side and observe for drainage
  • B. Clamp the chest tubes and observe Mr. Jones’ breathing pattern
  • C. Auscultate for equal breath sounds bilaterally
  • D. Monitor vital signs closely for hypotension, tachycardia
Correct Answer: C

Rationale: Equal breath sounds indicate proper lung expansion and functioning.

Which group of learners were born between 1961 and 1981 and have different learning needs due to technology and imposed independence?

  • A. Generation Y
  • B. Generation Net
  • C. Generation X
  • D. Baby Boomers
Correct Answer: C

Rationale: Generation X learners value independence and practical application due to technological advancements during their formative years.

The nurse knows that the most likely cause of the HSV-1 infection in a client with HIV infection is:

  • A. Immunosuppression.
  • B. Emotional stress.
  • C. Unprotected sexual activities.
  • D. Contact with saliva.
Correct Answer: A

Rationale: HSV-1 thrives in immunocompromised individuals due to weakened immune defenses.

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