ATI RN
RN ATI Medsurg Questions
Question 1 of 5
The nurse is assessing an older patient with type 2 diabetes mellitus. What age-related endocrine change should the nurse expect in this patient?
Correct Answer: C
Rationale: Decreased insulin sensitivity is a typical age-related change, exacerbating insulin resistance in type 2 diabetes.
Question 2 of 5
A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels?
Correct Answer: A
Rationale: An HbA1c of 6.3% indicates good glucose control, reflecting effective diabetes management over recent months.
Question 3 of 5
A staff nurse is teaching a client who has Addison's disease about the disease process. The client asks the nurse what causes Addison's disease. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Addison's disease results from insufficient aldosterone and cortisol production by the adrenal glands.
Question 4 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,D
Rationale: Hypoglycemia causes tachycardia, clammy skin, and blurred vision due to low glucose affecting the nervous system; polydipsia and polyuria are hyperglycemia symptoms.
Question 5 of 5
Propylthiouracil (PTU) is prescribed for a client with Graves' disease. The nurse should teach the client to immediately report which of the following?
Correct Answer: A
Rationale: PTU can cause agranulocytosis, a serious reduction in white blood cells, presenting as a sore throat, which requires immediate reporting.