ATI COMMUNITY NURSING MN 568 17 VERSIONS MIDTERM EXAMS WITH VERIFIED ANSWERS BY EXPERT

ATI COMMUNITY NURSING MN 568 17 VERSIONS MIDTERM
EXAMS WITH VERIFIED ANSWERS BY EXPERT

Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his left great toe. The
clinician suspects acute gout. Which of the following should the clinician expect in the initial test
results for this patient?
a.Elevated uric acid level
b. Elevated blood urea nitrogen
c. Decreased urine pH
d. Decreased C-reactive protein

. Mr. W, 53 years old, is seen in the clinic with concerns about his left foot. He has a 40-year
history of type 1 diabetes with “fairly good” control on twice-daily insulin. He denies injury but
states that he tripped a few months ago and that his foot is sore when he walks. Physical
examination reveals an edematous, erythremic, and warm foot. There is a superficial ulcer on the
plantar surface. Which of the following is the most likely diagnosis?
a.Fallen arch
b. Arthritis
c. Charcot joint
d. Sprained ankle

. Which of the following tests should you order to confirm Mr. W’s diagnosis?
a. Bone scan
b. Computed tomography (CT)
scan
c. X-ray of the foot
d. Culture of the ulcer

. A vegetarian patient with gout asks the clinician about food he should avoid. The
clinician should advise the patient to avoid which of the following foods?
a. Rice
b. Carrot
s c.
Spinach
d. Potatoes

The clinician should question the patient with suspected gout about use of which of these
medications?
a.Low-dose aspirin
b. Thiazide diuretics
c.Ethambutol
d. All of the above

. The clinician finds numerous nodules on the thyroid of a 65-year-old woman. The
clinician suspects thyroid cancer. Which of the following data would be most significant for this
patient?
a. A history of tonsillectomy in the 1940s
b. Recent exposure to mumps
c.Vegetarian diet
d. Allergy to iodine
. Which of the following is essential for diagnosing thyroid cancer?
a. Fine needle aspiration
b.Thyroid ultrasound
c. CT scan
d. Magnetic resonance imaging

. Which of the following are common signs of type 2 DM?
a. Anorexia
b. Recurrent yeast infection
c. Weight gain
d. Elevated HDL cholesterol

. Which of the following medications can cause hyperglycemia?
a. Prednisone
b. Metformin
c. Synthroid
d. Cephalexin

. Which of the following is diagnostic for diabetes mellitus?
a. A1C 7.0 on one occasion
b.Fasting blood sugar (FBS) of 100 mg/dL on two
occasions c. Random glucose of 200 mg/dL on two
occasions

d. Two-hour post-load plasma glucose of 300 mg/dL on one occasion
. Which of the following medications for type 2 diabetes mellitus should not be
prescribed during pregnancy?
a. Insulin
b. Metformin
c. Glucotrol
d. Precose



. The clinician suspects that a client seen in the office has hyperthyroidism. Which of the following
tests should the clinician order on the initial visit?
a. High sensitivity thyroid-stimulating hormone (TSH) and free T4
b. Free T4 and serum calcium
c.Free T3 and T4
d. TSH and thyroxin antibodies

3. A patient with type 2 diabetes asks the clinician why she needs to exercise. In order to
answer her, the clinician must understand that exercise has what effect on the patient with type 2
diabetes?
a. Reduces postprandial blood glucose
b. Reduces triglycerides and increases high-density lipoprotein (HDL)
c. Reduces total
cholesterol
d.All ofthe above

A patient with type 1 diabetes comes to the clinic complaining of feeling nervous and
clammy. He states that he took his insulin this morning but was late for work and did not eat
breakfast. Which action should the clinician take first?
a. Check his blood sugar.
b. Have him drink 4 ounces of juice
c. Call 911.
d. Ask him about his usual eating habits.

. A patient with type 2 diabetes comes to the clinic after reading about metformin in a
magazine. Which of the following conditions that the patient also has would be a contraindication
to taking metformin?
a. Ketoacidosis
b. Cirrhosis
c. Hypoglycemic
episodes
d. All of the above

. A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain,
and constipation for the past 3 months. On physical examination, the clinician notices a sinus
bradycardia; muscular stiffness; coarse, dry hair; and a delay in relaxation in deep tendon
reflexes. Which of the following tests should be ordered next?
a. Serum
calcium b.TSH
c. Electrolytes
d. Urine specific gravity
. The clinician has been doing diabetic teaching for a patient with type 1
diabetes. Which of thefollowing statements by the patient would indicate
that teaching has been effective?
a. “Aslong asI don’t need glasses, I don’t have to worry
about going blind.”
b. “I know I need to have my eyeschecked every year.”
c. “My optometrist checks my eyes.”
d. “I will see my eye doctor when my vision gets blurry.”
. A 64-year-old man with type 2 diabetes presents to the clinic with the
complaint of “my feet feellike they are on fire.” He has a loss of vibratory
sense, +1 Achilles reflex, and a tack embedded in his leftheel. Which of the
following would be an appropriate treatment?
a.Tricyclic antidepressants
b. Capsaicin cream
c.Vitamin B12 injections
d. Insulin
. After removing a tack from a type 2 diabetic’s heel and evaluating the
site for infection, what isthe best plan for this patient?
a. Suggest she use a heating pad to improve
circulation.
b. Refer to a podiatrist for a foot care
treatment plan.
c. Send her for acupuncture treatments.
d. All of the above