ATI RN
ATI Nur 285 Med Surg Exam Questions
Question 1 of 5
A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.)
Correct Answer: A,B,E,F
Rationale: A. Tachycardia is a common response to hypoglycemia due to the body's release of adrenaline. B. Diaphoresis is also associated with hypoglycemia and results from sympathetic nervous system activation. E. Hunger is a common sign of hypoglycemia as the body signals the need for glucose. F. Shakiness is a symptom of hypoglycemia due to adrenaline release.
Question 2 of 5
A nurse is caring for a client who is postoperative and whose respirations are shallow and 8/min. Which of the following acid-based imbalances should the nurse identify the client as being at risk for developing initially?
Correct Answer: A
Rationale: Respiratory acidosis occurs due to hypoventilation, which causes an accumulation of carbon dioxide in the blood, leading to increased acidity. Shallow respirations at a rate of 8 breaths per minute indicate hypoventilation, putting the client at risk for respiratory acidosis.
Question 3 of 5
A nurse is caring for a client who is 6hrs postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Checking for kinks is the priority, as it is a common cause of catheter obstruction and can be easily corrected.
Question 4 of 5
A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see?
Correct Answer: B
Rationale: A pH below 7.35 is indicative of acidosis, supporting a diagnosis of metabolic acidosis if other findings align.
Question 5 of 5
A client diagnosed with hyperosmolar hyperglycemia nonketonic syndrome (HHNS) was admitted yesterday with a blood glucose level of 700 mg/dL. The clients blood glucose level is now 250 mg/dL. Which intervention should the nurse implement?
Correct Answer: B
Rationale: When blood glucose drops significantly, insulin infusion rates are usually decreased to prevent hypoglycemia and a rapid fall in glucose levels.