ATI RN
ATI Leadership Practice B Questions
Question 1 of 5
Which statement by the patient indicates a need for additional instruction in administering insulin?
Correct Answer: A
Rationale: The correct answer is A: "I need to rotate injection sites among my arms, legs, and abdomen each day." This statement indicates a need for additional instruction because rotating injection sites within the same day is not recommended. Insulin injections should be given at the same general time each day but rotated within the same anatomical site to avoid inconsistent absorption rates and potential lipohypertrophy.
Choices B, C, and D all demonstrate correct understanding of insulin administration techniques, including syringe selection based on markings, correct order of drawing up insulin types, and the lack of need to aspirate the plunger to check for blood before injecting.
Question 2 of 5
An unresponsive patient with type 2 diabetes is brought to the emergency department and diagnosed with hyperosmolar hyperglycemic syndrome (HHS). The nurse will anticipate the need to
Correct Answer: B
Rationale: The correct answer is B: insert a large-bore IV catheter. In HHS, patients are severely dehydrated due to high blood sugar levels. Inserting a large-bore IV catheter allows for rapid rehydration with isotonic fluids. This helps to correct the hyperosmolarity and electrolyte imbalances. Giving dextrose (choice
A) would worsen hyperglycemia, initiating oxygen (choice
C) is not directly related to managing HHS, and administering long-acting insulin like glargine (choice
D) is not the initial priority in managing acute HHS.
Question 3 of 5
The nurse is interviewing a new patient with diabetes who receives rosiglitazone (Avandia) through a restricted access medication program. What is most important for the nurse to report immediately to the health care provider?
Correct Answer: D
Rationale: The correct answer is D: The patient has chest pressure when walking. This symptom could indicate cardiac issues, a known side effect of rosiglitazone. Reporting this immediately is crucial to prevent potential serious complications.
A: The patient's blood pressure is 154/92. While high, it is not an immediate concern unless accompanied by other symptoms.
B: The patient has a history of emphysema. Relevant but not urgent in this scenario.
C: The patient's blood glucose is 86 mg/dL. Within the normal range and not a priority compared to chest pressure.
In summary, choice D is correct as it addresses a potentially severe side effect of the medication that requires immediate attention.
Choices A, B, and C are not as urgent or directly related to the medication's side effects.
Question 4 of 5
The nurse has administered 4 oz of orange juice to an alert patient whose blood glucose was 62 mg/dL. Fifteen minutes later, the blood glucose is 67 mg/dL. Which action should the nurse take next?
Correct Answer: A
Rationale:
Rationale: The correct answer is A because the patient's blood glucose level has increased slightly, indicating the orange juice is working. Giving more orange juice is appropriate to continue raising the blood glucose level. Administering glucagon (
B) is not necessary as the patient's glucose is improving. Eating peanut butter with crackers (
C) may be too slow to raise the glucose level. Notifying the healthcare provider (
D) is not needed at this point as the patient is responding to the initial intervention.
Question 5 of 5
A client who is nonambulatory notifies the nurse that their trash can is on fire. After the nurse confirms the presence of the fire, which of the following actions should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Confine the fire. This is the most appropriate action because the nurse's first priority is to ensure the safety of the client by containing the fire to prevent it from spreading and causing harm. By confining the fire, the nurse can help protect the client and other individuals in the vicinity. Activating the fire alarm (choice
A) may be necessary but should come after the fire is confined. Extinguishing the fire (choice
B) may put the nurse and client at risk without proper training or equipment. Evacuating the client (choice
C) should only be done if the fire cannot be quickly and safely confined.