ATI RN
ATI Nur 285 Med Surg Exam Questions
Question 1 of 5
A patient is transferred to the emergency department from the outpatient clinic with a diagnosis of hyperkalemia. Kayexalate was prescribed. Which of the following nursing actions will the nurse perform before administering Kayexalate?
Correct Answer: B
Rationale: Assessing for bowel sounds is essential because Kayexalate works by exchanging potassium for sodium in the intestine, and bowel motility must be adequate to ensure the medication is effective and to prevent complications such as bowel obstruction.
Question 2 of 5
Following an intravenous pyelogram (IVP) using contrast medium, the nurse should anticipate incorporating which of the following measures the client's plan of care?
Correct Answer: C
Rationale: Encouraging adequate fluid intake is crucial after the administration of contrast medium to help flush the kidneys and minimize the risk of contrast-induced nephropathy.
Question 3 of 5
A nurse is teaching a client who has a new diagnosis of Type 1 diabetes mellitus about self-administration of insulin. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Storing the current bottle of insulin at room temperature (if not in use) helps maintain the insulin's effectiveness and reduces discomfort during injections.
Question 4 of 5
A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Checking feet daily for sores and bruises is essential for diabetes management, as individuals with diabetes have a higher risk of foot complications due to reduced sensation and circulation.
Question 5 of 5
A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?
Correct Answer: D
Rationale: Pale pink urine is a common and expected variation after a transurethral prostatectomy, indicating minor bleeding or irritation without significant risk.