ATI RN
ATI n269 Med Surg Comprehensive Exam Questions
Question 1 of 5
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
Correct Answer: C
Rationale: Regular insulin is the preferred choice for treating diabetic ketoacidosis. It is a short-acting insulin that can be administered intravenously to rapidly lower blood glucose levels and correct the metabolic acidosis associated with DKA.
Question 2 of 5
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?
Correct Answer: C
Rationale: Aspirin acts as an antiplatelet aggregate, which is its key action in preventing the formation of blood clots. This is crucial for patients with a history of MI, as it helps reduce the risk of further clot-related events, such as a recurrent MI or stroke.
Question 3 of 5
A nurse is assessing a client who has bradycardia. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Lightheadedness is a common symptom of bradycardia. When the heart rate is too slow, the body may not pump enough blood to meet its oxygen demands, leading to dizziness or lightheadedness.
Question 4 of 5
An acute pancreatitis patient who complains of muscle cramping. The nurse explains to the patient that is the typical sign and symptom of?
Correct Answer: B
Rationale: Hypocalcemia is a common sign of muscle cramping in acute pancreatitis due to the precipitation of calcium in the pancreas or surrounding tissues, leading to neuromuscular irritability and muscle spasms.
Question 5 of 5
A nurse in the emergency department is caring for a client who is experiencing manifestations of a myocardial infarction (MI). Which of the following laboratory tests should the nurse expect the provider to prescribe?
Correct Answer: B
Rationale: Troponin is the gold standard laboratory test for diagnosing myocardial infarction. It is a protein released from damaged heart muscle cells, and elevated levels indicate myocardial injury. Troponin levels are highly specific to cardiac tissue and remain elevated for several days after an MI.